Advanced Glaucoma Eyecare

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

ADVANCED GLAUCOMA EYECARE

Practice address

8101 Sandy Spring Rd Ste 108
Laurel, MD 20707-3596

Phone

(240) 917-2770

NPI assigned

Jul 20, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Pamela D'Souza-David, MDNPI 1104010792

Title

Physician and Surgeon

Phone

(240) 917-2770

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC, MD2 enrollments

Enrollment records 2

Locations

Practitioners 1

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

• Pamela D'Souza-David, M.D.

  • Ophthalmology Physician
  • Laurel, MD
  • NPI 1104010792

  DC

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1532044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721088000000",
    "number": "1558848747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2308 CALVIN CIR",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210421802",
            "telephone_number": "410-465-2435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8101 SANDY SPRING RD STE 108",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207073596",
            "telephone_number": "240-917-2770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED GLAUCOMA EYECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-20",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A",
        "authorized_official_last_name": "D'SOUZA-DAVID",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "PHYSICIAN AND SURGEON",
        "authorized_official_telephone_number": "240-917-2770",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ophthalmology Physician in Laurel, MD
• Providers in Laurel, MD by specialty
• Ophthalmology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2024; 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.