# CHESAPEAKE EYE CARE AND LASER CENTER, LLC

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

## Provider details

- **NPI number:** 1811874944
- **Legal business name:** CHESAPEAKE EYE CARE AND LASER CENTER, LLC
- **Authorized official:** KRISTA WALLECH (CREDENTIALING SPECIALIST)
- **Authorized official phone:** (410) 571-8733

## Contact information

- **Practice address:** 112 THOMAS JOHNSON DR STE 105, FREDERICK, MD 21702-4905
- **Practice address phone:** (301) 791-0888
- **Practice address fax:** (301) 791-3611
- **Mailing address:** 2661 RIVA RD STE 1030, ANNAPOLIS, MD 21401-7131
- **Mailing address phone:** (410) 571-8733
- **Mailing address fax:** (410) 571-6309

## Taxonomy

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

## Other

- **Enumeration date:** 08/20/2025
- **Last updated:** 04/21/2026