NPIMap

Organization Active NPI

Chesapeake Eye Care and Laser Center, LLC

  • Ophthalmology Physician
  • Baltimore, MD
National Provider Identifier
1679465041
Registry record updated Jul 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
CHESAPEAKE EYE CARE AND LASER CENTER, LLC
Practice address
3110 Lord Baltimore Dr Ste 103
Baltimore, MD 21244-2644
Phone
(410) 277-3937
Fax
(410) 281-9388
NPI assigned
Jul 18, 2025
Organization subpart
Yes
Parent organization
CHESAPEAKE EYE CARE & LASER CENTER, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 18, 2025

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
(443) 228-6971

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

3110 Lord Baltimore Dr Ste 103
Baltimore, MD 21244-2644

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

Locations

3110 Lord Baltimore Dr
Ste 103
Windsor Mill, MD 21244
Phone (410) 277-3937

NPI Registry JSON

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

{
    "created_epoch": "1752796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752796800000",
    "number": "1679465041",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3110 LORD BALTIMORE DR STE 103",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212442644",
            "telephone_number": "410-277-3937",
            "fax_number": "410-281-9388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHESAPEAKE EYE CARE AND LASER CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHESAPEAKE EYE CARE & LASER CENTER, LLC",
        "enumeration_date": "2025-07-18",
        "last_updated": "2025-07-18",
        "certification_date": "2025-07-18",
        "status": "A",
        "authorized_official_last_name": "WALLECH",
        "authorized_official_first_name": "KRISTA",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "443-228-6971"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2025; 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.