NPIMap

Chesapeake Eye Care & Laser Center LLC

Organization Active NPI Optometrist · MC Lean, VA

NPI 1497583363 · NPPES record last updated Jul 23, 2024

Key facts

NPI
1497583363
Entity type
Organization (NPI type 2)
Primary specialty
Optometrist 152W00000X
Legal business name
CHESAPEAKE EYE CARE & LASER CENTER LLC
Practice address
8138 Watson St
MC Lean, VA 22102-4416
Phone
(410) 870-7942
NPI assigned
Jul 23, 2024
Organization subpart
No

Authorized official

Name
Michael Pascetta
Title
Cfo
Phone
(410) 571-8733

Corporate family (same tax ID) 7

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Chesapeake Eye Care Laser Center (58 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist
Group: 193200000X MULTI-SPECIALTY GROUP		 152W00000X Yes

Addresses

Primary practice location

8138 Watson St
MC Lean, VA 22102-4416

Mailing address

2661 Riva Rd Ste 1030
Annapolis, MD 21401-7131

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 23, 2024.

{
    "created_epoch": "1721692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721692800000",
    "number": "1497583363",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8138 WATSON ST",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221024416",
            "telephone_number": "410-870-7942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHESAPEAKE EYE CARE & LASER CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-23",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A",
        "authorized_official_last_name": "PASCETTA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "410-571-8733"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in MC Lean, VA

All providers in MC Lean, VA · Optometrist in Virginia

Sources for this page

Verify at the official NPI Registry.