Organization Active NPI

The Glaucoma Center, P.C.

  • Ophthalmology Physician
  • Annapolis, MD
National Provider Identifier
1508921792
Registry record updated Oct 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
D0053812 Issued in MD
Legal business name
THE GLAUCOMA CENTER, P.C.
Practice address
129 Lubrano Dr Ste 101
Annapolis, MD 21401-7566
Phone
(301) 860-1090
Fax
(301) 860-1095
NPI assigned
Dec 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2025

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

Authorized official

Name
Alyson L. Hall, M.D.NPI 1417973314
Title
President
Phone
(301) 860-1090

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X D0053812 MD Primary

Addresses

Primary practice location

129 Lubrano Dr Ste 101
Annapolis, MD 21401-7566

Mailing address

17001 Science Dr Ste 120
Bowie, MD 20715-4330
Phone (301) 860-1090

Other identifiers 1

IdentifierTypeStateIssuer
859600800MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050404000455 MD Part B Supplier - Clinic/Group Practice 2668430364 Receives reassigned benefits from 5 practitioners
Practice locations: Annapolis, MD

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
The Glaucoma Center PC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

2002 Medical Pkwy
Ste 610
Annapolis, MD 21401
Phone (410) 741-9706

127 Lubrano Dr
Ste 120
Annapolis, MD 21401

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761868800000",
    "number": "1508921792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17001 SCIENCE DR STE 120",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207154330",
            "telephone_number": "301-860-1090",
            "fax_number": "013-860-1095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 LUBRANO DR STE 101",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017566",
            "telephone_number": "301-860-1090",
            "fax_number": "301-860-1095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE GLAUCOMA CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2025-10-31",
        "certification_date": "2025-10-31",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "ALYSON",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-860-1090",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "MD",
            "license": "D0053812",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "859600800",
            "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 Oct 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.