Organization
ADVANCED EYE CARE MEDICAL CENTER
Active
Other names
Envision Eye & Laser Center
Organization subpart
No
Provider details
NPI number
Authorized official
RENEE C BOVELLE MD (OWNER)
(301) 805-4664
Entity
Organization
Contact information
Practice address
12200 ANNAPOLIS RD, SUITE 116, GLENN DALE, MD 20769-9182
(301) 805-4664
Mailing address
12200 ANNAPOLIS RD, SUITE 116, GLENN DALE, MD 20769-9182
(301) 805-4664
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
07/24/2013
Last updated
03/23/2016
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