# CHESAPEAKE EYE CARE AND LASER CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CHESAPEAKE EYE CARE & LASER CENTER, LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1679465041
- **Legal business name:** CHESAPEAKE EYE CARE & LASER CENTER, LLC
- **Authorized official:** KRISTA WALLECH (CREDENTIALING SPECIALIST)
- **Authorized official phone:** (443) 228-6971

## Contact information

- **Practice address:** 3110 LORD BALTIMORE DR STE 103, BALTIMORE, MD 21244-2644
- **Practice address phone:** (410) 277-3937
- **Practice address fax:** (410) 281-9388
- **Mailing address:** 2661 RIVA RD STE 1030, ANNAPOLIS, MD 21401-7131
- **Mailing address phone:** (410) 571-8733

## Taxonomy

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

## Other

- **Enumeration date:** 07/18/2025
- **Last updated:** 07/18/2025