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Organization
MARYLAND EYE SURGERY CENTER, L.L.C.
Active
Organization
MARYLAND EYE SURGERY CENTER, L.L.C.
Active
Other names
The Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL PASCETTA (CFO)
(860) 652-5002
Entity
Organization
Contact information
Practice address
800 PRINCE FREDERICK BLVD., PRINCE FREDERICK, MD 20678
(410) 535-2270
(410) 535-5749
Mailing address
800 PRINCE FREDERICK BLVD, PRINCE FREDERICK, MD 20678-3145
(240) 232-2020
(410) 535-9287
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
A1333
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02RX
CAREFIRST BCBS
MD
01
—
2667944
AETNA HMO
—
01
—
293323
MAMSI
—
01
—
49004995
RAILROAD MEDICARE
—
05
—
748101200
—
MD
01
—
7819207
AETNA PPO
—
01
—
PN9
GHMSI
DC
Enumeration date
08/01/2006
Last updated
07/09/2026
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