# CHESAPEAKE EYE CARE & LASER CENTER LLC

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

## Provider details

- **NPI number:** 1396573390
- **Authorized official:** MICHAEL PASCETTA (CFO)
- **Authorized official phone:** (410) 571-8733

## Contact information

- **Practice address:** 195 THOMAS JOHNSON DR STE C, FREDERICK, MD 21702-5169
- **Practice address phone:** (301) 791-0888
- **Practice address fax:** (301) 791-3611
- **Mailing address:** 2661 RIVA RD STE 1030, ANNAPOLIS, MD 21401-7131

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/23/2024
- **Last updated:** 07/23/2024