Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Advanced Eye Care Medical Center, PA

Organization Ophthalmology Physician · NPI 1790990505

Advanced Eye Care Medical Center, PA is an Ophthalmology Physician in Glenn Dale, Maryland. Licensed in Maryland. Registered with an NPI since 2007.

Licensed in
MD
In the registry since
2007
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

12200 Annapolis Rd Ste 116
Glenn Dale, MD 20769-9182
Phone: (301) 805-4664
Fax: (301) 805-4663
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X · Licence D0056686 (MD)

Record details

NPI number1790990505
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Renee Bovelle — Owner · (301) 805-4664
NPI enumeratedMay 14, 2007
Last updated in NPPESMay 23, 2013
Mailing address12200 Annapolis Rd, Suite 116, Glenn Dale, MD 20769-9182

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