Srec Eye Surgery LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

SREC EYE SURGERY LLC

Practice address

9954 N Main St Unit 2
Berlin, MD 21811-1299

Phone

(443) 242-4070

NPI assigned

Jul 16, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Tillie Andrade

Title

Credentialing Specialist

Phone

(702) 449-9173

Specialties & licenses 2

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1752624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752710400000",
    "number": "1306738257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9954 N MAIN ST UNIT 2",
            "city": "BERLIN",
            "state": "MD",
            "postal_code": "218111299",
            "telephone_number": "443-242-4070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9954 N MAIN ST UNIT 2",
            "city": "BERLIN",
            "state": "MD",
            "postal_code": "218111299",
            "telephone_number": "443-242-4070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SREC EYE SURGERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-16",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "status": "A",
        "authorized_official_last_name": "ANDRADE",
        "authorized_official_first_name": "TILLIE",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "702-449-9173"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Spencer
• Anne Patricia Spillane, M.D.
• Erin L Spillane, M.D.
• Philip J Spinuzza, DO
• Kanwer Paul Singh Sran, DMD
• Sri Ganesh Pharmacy Services LLC (Atlantic Discount Pharmacy)
• Hillary Lauber Stalknecht
• Gregory W Stamnas, MD
• Carol Anne Stange, LCSW-C
• Allison Staples, M.S. CCC-SLP

• Ambulatory Surgical Clinic/Center in Berlin, MD
• Providers in Berlin, MD by specialty
• Ambulatory Surgical Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.