NPIMap

Organization Active NPI

Chesapeake Eye Care and Laser Center, LLC

  • Optometrist
  • Frederick, MD
National Provider Identifier
1548147689
Registry record updated Apr 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
CHESAPEAKE EYE CARE AND LASER CENTER, LLC
Practice address
112 Thomas Johnson Dr Ste 105
Frederick, MD 21702-4905
Phone
(301) 791-0888
Fax
(301) 791-3611
NPI assigned
Aug 20, 2025
Last updated
Apr 21, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
CHESAPEAKE EYE CARE AND LASER CENTER, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 21, 2026

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

Authorized official

Name
Krista Wallech
Title
Credentialing Specialist
Phone
(410) 571-8733

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

112 Thomas Johnson Dr Ste 105
Frederick, MD 21702-4905

Mailing address

2661 Riva Rd Ste 1030
Annapolis, MD 21401-7131
Phone (410) 571-8733

National Provider Directory

National Provider Directory
Tax ID family
Chesapeake Eye Care Laser Center58 organizations share this tax ID, including this one
Part of
Chesapeake Eye Care Laser Center

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1755648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776729600000",
    "number": "1548147689",
    "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": "410-571-8733",
            "fax_number": "410-571-6309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 THOMAS JOHNSON DR STE 105",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024905",
            "telephone_number": "301-791-0888",
            "fax_number": "301-791-3611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHESAPEAKE EYE CARE AND LASER CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHESAPEAKE EYE CARE AND LASER CENTER, LLC",
        "enumeration_date": "2025-08-20",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A",
        "authorized_official_last_name": "WALLECH",
        "authorized_official_first_name": "KRISTA",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "410-571-8733"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2026; 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.