# CHESAPEAKE EYE CARE & LASER CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023824463
- **Authorized official:** CREDENTIALING SPECIALIST (CREDENTIALING SPECIALIST)
- **Authorized official phone:** (410) 571-8733

## Contact information

- **Practice address:** 2002 MEDICAL PKWY STE 320, ANNAPOLIS, MD 21401-7901
- **Practice address phone:** (410) 571-8733
- **Mailing address:** 2661 RIVA RD STE 1030, ANNAPOLIS, MD 21401-7131
- **Mailing address phone:** (667) 354-5528

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | — | — | Yes |

## Other

- **Enumeration date:** 12/10/2024
- **Last updated:** 11/13/2025