| Chesapeake Eye Care & Laser Center Llc | |
|
2002 Medical Pkwy Ste 320, Annapolis, MD 21401-7901 | |
| (410) 571-8733 | |
| (410) 571-6309 |
| Full Name | Chesapeake Eye Care & Laser Center Llc |
|---|---|
| Type | Facility |
| Speciality | Ophthalmology |
| Location | 2002 Medical Pkwy Ste 320, Annapolis, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548296262 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Secondary |
| 207W00000X | Ophthalmology | (* (Not Available)) | Primary |
| Provider Name | Gregory J Sophocleus |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1871609719 PECOS PAC ID: 2567454978 Enrollment ID: I20040402000896 |
| Provider Name | Bruce Jones |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1457388837 PECOS PAC ID: 5294623377 Enrollment ID: I20040413001163 |
| Provider Name | Heather A Nesti |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1790733954 PECOS PAC ID: 8820076037 Enrollment ID: I20040713000473 |
| Provider Name | Ok H Park |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1659306520 PECOS PAC ID: 9335114446 Enrollment ID: I20040902000305 |
| Provider Name | Maria C Scott |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1396793766 PECOS PAC ID: 2567440779 Enrollment ID: I20041014001131 |
| Provider Name | Marcos T Doxanas |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1922114834 PECOS PAC ID: 7416848999 Enrollment ID: I20041209000428 |
| Provider Name | Jason Wanner |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1558377713 PECOS PAC ID: 4688645328 Enrollment ID: I20050622000692 |
| Provider Name | Tamara K Fackler |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1447208657 PECOS PAC ID: 9133106123 Enrollment ID: I20051006000724 |
| Provider Name | James A Busack |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1174505689 PECOS PAC ID: 9830136522 Enrollment ID: I20051031000357 |
| Provider Name | Jason T Palik |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1407882129 PECOS PAC ID: 6103821913 Enrollment ID: I20060929000514 |
| Provider Name | Orin Zwick |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1467406900 PECOS PAC ID: 4082502752 Enrollment ID: I20061003000721 |
| Provider Name | Kimberly A Deugwillo |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1750391579 PECOS PAC ID: 6103825724 Enrollment ID: I20071012000130 |
| Provider Name | David L Parver |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1346248887 PECOS PAC ID: 7911987136 Enrollment ID: I20071101000686 |
| Provider Name | Marc Landon Berry |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1699971796 PECOS PAC ID: 7719059914 Enrollment ID: I20080703000239 |
| Provider Name | Kevin L Dobbins |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1275796229 PECOS PAC ID: 3476626458 Enrollment ID: I20080724000174 |
| Provider Name | Selvin Gnanakkan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1104980846 PECOS PAC ID: 1456317510 Enrollment ID: I20080911000587 |
| Provider Name | Edward John Wasloski |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1952307084 PECOS PAC ID: 4789634643 Enrollment ID: I20080923000413 |
| Provider Name | Mary E Sezer |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1386787299 PECOS PAC ID: 8224194238 Enrollment ID: I20090226000597 |
| Provider Name | Sherry S Higginbotham |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1013975796 PECOS PAC ID: 8527112945 Enrollment ID: I20090820000068 |
| Provider Name | Jordan Lawrence Heffez |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1669617866 PECOS PAC ID: 4385798925 Enrollment ID: I20091029000202 |
| Provider Name | Prisca A Diala |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1154516714 PECOS PAC ID: 2264567841 Enrollment ID: I20100407000019 |
| Provider Name | Scott Laborwit |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1407933310 PECOS PAC ID: 8426150566 Enrollment ID: I20100519000175 |
| Provider Name | Ivan Horacio Garcia |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1629074745 PECOS PAC ID: 2860442720 Enrollment ID: I20100831000690 |
| Provider Name | Brad Vincent Spagnolo |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1689679425 PECOS PAC ID: 1456323369 Enrollment ID: I20100928000257 |
| Provider Name | Robert S Stutman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1205913027 PECOS PAC ID: 4082672399 Enrollment ID: I20101207000745 |
| Provider Name | Mahsa Salehi |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1770713471 PECOS PAC ID: 9739232794 Enrollment ID: I20101209000924 |
| Provider Name | David R Bittings |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1972606325 PECOS PAC ID: 5193904795 Enrollment ID: I20110128000403 |
| Provider Name | Martin J Weintraub |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1689777039 PECOS PAC ID: 6305985045 Enrollment ID: I20110128000534 |
| Provider Name | Andrew I Kessler |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1881797231 PECOS PAC ID: 7214076959 Enrollment ID: I20110128000577 |
| Provider Name | Mark E Whitten |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1306928965 PECOS PAC ID: 4688763576 Enrollment ID: I20110520000432 |
| Provider Name | David S Holland |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1134417025 PECOS PAC ID: 1355511106 Enrollment ID: I20110902000447 |
| Provider Name | Lisa K Feulner |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1063401362 PECOS PAC ID: 9739154469 Enrollment ID: I20111019000576 |
| Provider Name | Wayne Barber |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1245233428 PECOS PAC ID: 7618075755 Enrollment ID: I20120126000207 |
| Provider Name | Robert Friedman |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1568465748 PECOS PAC ID: 1254439391 Enrollment ID: I20120126000286 |
| Provider Name | Cynthia Jun |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1184627366 PECOS PAC ID: 3173790573 Enrollment ID: I20120126000363 |
| Provider Name | Daniel A Stoltze |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1114909348 PECOS PAC ID: 5294983268 Enrollment ID: I20120917000392 |
| Provider Name | Augustus G Stern |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1245405240 PECOS PAC ID: 4183790124 Enrollment ID: I20121018000145 |
| Provider Name | Mohindra Ramphal |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1366794638 PECOS PAC ID: 6800041401 Enrollment ID: I20130306000023 |
| Provider Name | Sidney T Chang |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1790888006 PECOS PAC ID: 3678649225 Enrollment ID: I20130315000270 |
| Provider Name | Brian Gonzales |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1720150915 PECOS PAC ID: 9931340973 Enrollment ID: I20130802000236 |
| Provider Name | Kelleen R Skoner |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1427497429 PECOS PAC ID: 7315189388 Enrollment ID: I20130813000058 |
| Provider Name | Kinga M Huzella |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1659371888 PECOS PAC ID: 3779710462 Enrollment ID: I20131231000403 |
| Provider Name | Diane Chang |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1588826168 PECOS PAC ID: 7416102983 Enrollment ID: I20150623002765 |
| Provider Name | Samantha L Williamson |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1598056822 PECOS PAC ID: 5597087833 Enrollment ID: I20151006000577 |
| Provider Name | Jeffrey L Reynolds |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1891752259 PECOS PAC ID: 2163446949 Enrollment ID: I20160510000271 |
| Provider Name | Whitney Elizabeth Mcconkey |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1275990145 PECOS PAC ID: 8628360245 Enrollment ID: I20160630000020 |
| Provider Name | Jazzmon Lee Nguedjo |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1417306697 PECOS PAC ID: 6305138777 Enrollment ID: I20160705000876 |
| Provider Name | Olivia Claudia Dryjski |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1689017709 PECOS PAC ID: 6709157183 Enrollment ID: I20170803000069 |
| Provider Name | Leslie Anne Toll |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1346381829 PECOS PAC ID: 1254605926 Enrollment ID: I20170919001240 |
| Provider Name | Roma V Desai |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1831542372 PECOS PAC ID: 9234496589 Enrollment ID: I20171122000646 |
| Provider Name | Erwin Calvo Puente |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1003105677 PECOS PAC ID: 5395057632 Enrollment ID: I20180806002291 |
| Provider Name | Erin Pauline Benjamin |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1790052207 PECOS PAC ID: 6507096559 Enrollment ID: I20181128002555 |
| Provider Name | Hares Banuwal |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1285293100 PECOS PAC ID: 2668707142 Enrollment ID: I20190708000446 |
| Provider Name | Marc Andrew Malouf |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1821318841 PECOS PAC ID: 9032337290 Enrollment ID: I20190717000229 |
| Provider Name | Rebecca Dean |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1770145468 PECOS PAC ID: 3971839093 Enrollment ID: I20190727000341 |
| Provider Name | Trey Michel Haugen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1548740772 PECOS PAC ID: 5991031692 Enrollment ID: I20190801000742 |
| Provider Name | Gaurav Srivastava |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1487040036 PECOS PAC ID: 9638406697 Enrollment ID: I20190814000100 |
| Provider Name | Gerald Neil Frishman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1699837286 PECOS PAC ID: 7517006224 Enrollment ID: I20190828002656 |
| Provider Name | Joon B Hur |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1588225833 PECOS PAC ID: 2264867415 Enrollment ID: I20200115002108 |
| Provider Name | Rachel Cho |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1447876040 PECOS PAC ID: 9133539463 Enrollment ID: I20201028000020 |
| Provider Name | George Malouf |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1053381210 PECOS PAC ID: 4183800345 Enrollment ID: I20210222000025 |
| Provider Name | A'sha Mable Brown |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1255674719 PECOS PAC ID: 7810266574 Enrollment ID: I20210222001357 |
| Provider Name | Chad S Marcantonio |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1760749584 PECOS PAC ID: 4385939628 Enrollment ID: I20210322000724 |
| Provider Name | Amit Chohan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1962016998 PECOS PAC ID: 2062827447 Enrollment ID: I20210421000345 |
| Provider Name | Luke Y Chang |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1497287031 PECOS PAC ID: 7113326422 Enrollment ID: I20210518002683 |
| Provider Name | Karishma Habbu |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1003341413 PECOS PAC ID: 2163799230 Enrollment ID: I20210608002699 |
| Provider Name | Shazia Ahmed |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1306012950 PECOS PAC ID: 1557425774 Enrollment ID: I20210730000034 |
| Provider Name | Adel Ebraheem |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1851961726 PECOS PAC ID: 6709281983 Enrollment ID: I20210826000968 |
| Provider Name | Sarah Mahmoud |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1699344960 PECOS PAC ID: 0941608632 Enrollment ID: I20211011001679 |
| Provider Name | Uriel Young |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1053040733 PECOS PAC ID: 3971983875 Enrollment ID: I20220709000425 |
| Provider Name | Aspen Chun |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1508436759 PECOS PAC ID: 9335543669 Enrollment ID: I20220815003604 |
| Provider Name | Sanjeeb Bhandari |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1053054726 PECOS PAC ID: 6901280395 Enrollment ID: I20220902001880 |
| Provider Name | Osasenaga West-erhabor |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1932817608 PECOS PAC ID: 9638549322 Enrollment ID: I20221221000029 |
| Provider Name | Jeremy Wood |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1598714909 PECOS PAC ID: 9436157799 Enrollment ID: I20230712004295 |
| Provider Name | David Rosner |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1912682071 PECOS PAC ID: 0244691525 Enrollment ID: I20230802003966 |
| Provider Name | Shaivi Asit Patel |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1497315766 PECOS PAC ID: 3678802329 Enrollment ID: I20230814003040 |
| Provider Name | Briana Brunner |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1336677913 PECOS PAC ID: 3072997501 Enrollment ID: I20230817001679 |
| Provider Name | Malino Riel Javier Defay |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1316622541 PECOS PAC ID: 6002278389 Enrollment ID: I20230817004252 |
| Provider Name | Brittany Lashae Eaton |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1568141836 PECOS PAC ID: 6204299878 Enrollment ID: I20230830000294 |
| Provider Name | Daliya Dzhaber |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1528685328 PECOS PAC ID: 4284034836 Enrollment ID: I20230911003709 |
| Provider Name | Soraiya Thura |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1992292130 PECOS PAC ID: 5395071625 Enrollment ID: I20231027002557 |
| Provider Name | Sophia Johnson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1770364630 PECOS PAC ID: 0749637916 Enrollment ID: I20231109000687 |
| Mailing Address | Practice Location Address |
|---|---|
| Chesapeake Eye Care & Laser Center Llc Po Box 392908, Pittsburgh, PA 15251-9900 Ph: (410) 571-8733 | Chesapeake Eye Care & Laser Center Llc 2002 Medical Pkwy Ste 320, Annapolis, MD 21401-7901 Ph: (410) 571-8733 |