# ADVANCED GLAUCOMA EYECARE

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

## Provider details

- **NPI number:** 1558848747
- **Authorized official:** DR. PAMELA D'SOUZA-DAVID MD (PHYSICIAN AND SURGEON)
- **Authorized official phone:** (240) 917-2770

## Contact information

- **Practice address:** 8101 SANDY SPRING RD STE 108, LAUREL, MD 20707-3596
- **Practice address phone:** (240) 917-2770
- **Mailing address:** 2308 CALVIN CIR, ELLICOTT CITY, MD 21042-1802
- **Mailing address phone:** (410) 465-2435

## Taxonomy

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

## Other

- **Enumeration date:** 07/20/2018
- **Last updated:** 07/16/2024