Active NPI
Tamara K Fackler, MD
- Retina Specialist (Ophthalmology) Physician
- Annapolis, MD
National Provider Identifier
1447208657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Retina Specialist (Ophthalmology) Physician
- License
- D0047532
- Practice address
- 2002 Medical Pkwy Ste 320
Annapolis, MD 21401-7901 - Phone
- (410) 571-8733
- Fax
- (410) 571-6309
- NPI assigned
- May 4, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 10
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Ophthalmology Physician
- Annapolis, MD
- NPI 1548296262
MD, Ophthalmology
-
- Optician
- Hancock, MD
- NPI 1144860396
-
- Optician
- Baltimore, MD
- NPI 1275173197
-
- Ophthalmology Physician
- Suitland, MD
- NPI 1497230866
-
- Optician
- Catonsville, MD
- NPI 1518569995
-
- Optician
- Westminster, MD
- NPI 1710521976
-
- Optician
- Hagerstown, MD
- NPI 1801436050
-
- Optician
- Prince Frederick, MD
- NPI 1386127421
-
- Optician
- MC Lean, VA
- NPI 1942962444
-
- Ophthalmology Physician
- Westminster, MD
- NPI 1780235820
Ophthalmology
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Ohio State University College of Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Chesapeake Eye Care and Laser Center LLC
Practice addresses (Care Compare)
2002 Medical Pkwy
Suite 320
Annapolis, MD 21401-7901
Phone (410) 571-8733
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051006000724 | MD | Practitioner - Ophthalmology | 9133106123 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0047532 | MD | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chesapeake Eye Care and Laser Center LLC | Ophthalmology | Current | Accepting new patients |
| Chesapeake Eye Care & Laser Center LLC | Ophthalmology | Current | Accepting new patients |
Locations
2002 Medical Pkwy
Ste 320
Annapolis, MD 21401
2661 Riva Rd
Ste 1030
Annapolis, MD 21401
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Retina Specialist (Ophthalmology) Physician | 207WX0107X | D0047532 | MD | Primary |
| Ophthalmology Physician | 207W00000X | D0047532 | MD |
Addresses
NPPES NPI RegistryPrimary practice location
2002 Medical Pkwy Ste 320
Annapolis, MD 21401-7901
Mailing address
2661 Riva Rd Ste 1030
Annapolis, MD 21401-7131
Phone (667) 354-5528
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 318402100 | Medicaid | MD |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 21, 2026.
{
"created_epoch": "1146700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774051200000",
"number": "1447208657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2661 RIVA RD STE 1030",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214017131",
"telephone_number": "667-354-5528"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2002 MEDICAL PKWY STE 320",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214017901",
"telephone_number": "410-571-8733",
"fax_number": "410-571-6309"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FACKLER",
"first_name": "TAMARA",
"middle_name": "K",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-04",
"last_updated": "2026-03-21",
"certification_date": "2026-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "207WX0107X",
"taxonomy_group": "",
"desc": "Ophthalmology, Retina Specialist",
"state": "MD",
"license": "D0047532",
"primary": true
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "MD",
"license": "D0047532",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "318402100",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Annapolis, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.