Chesapeake Eye Care and Laser Center, LLC

NPI #1548152911 in Waldorf, Maryland

Provider Information

NPI Number: 1548152911
Entity Type: Organization
Organization Name: Chesapeake Eye Care and Laser Center, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: CHESAPEAKE EYE CARE & LASER CENTER, LLC
Primary Specialty: Optometrist
Enumeration Date: Jul 18, 2025
Last Updated: Jul 18, 2025

Practice Location

Address: 11637 TERRACE DR STE 103
City: Waldorf
State: Maryland
ZIP Code: 20602-3707
Phone: (301) 895-2020

Authorized Official

Name: KRISTA WALLECH
Title: CREDENTIALING SPECIALISTS
Phone: (443) 228-6971

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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