Baltimore Eye Surgical Center,LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

BALTIMORE EYE SURGICAL CENTER,LLC

Practice address

6231 N Charles St
Baltimore, MD 21212-1113

Phone

(410) 377-5821

Fax

(410) 377-8061

NPI assigned

Jan 16, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Michael Pascetta

Title

Cfo

Phone

(860) 652-5002

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Listed as

Baltimore Eye Surgical Center LLCCCN 21C0001403

Medicare certification status

ActiveFrom the Provider of Services file

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

• Chesapeake Eye Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Annapolis, MD
  • NPI 1346215316

  Member Of

  NPD member
• Eye Care Specialists, P.C.

  • Ophthalmology Physician
  • Nanticoke, PA
  • NPI 1326192287

  Member Of

  NPD member

Locations

Practitioners 5

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

• Marcos Thomas Doxanas, M.D.

  • Ophthalmology Physician
  • Baltimore, MD
  • NPI 1922114834
  NPD (past)
• Ivan Horacio Garcia Jr., MD

  • Specialist
  • Baltimore, MD
  • NPI 1629074745
  NPD (past)
• Sumana Kommana, MD

  • Ophthalmology Physician
  • Westminster, MD
  • NPI 1255782173
  NPD (past)
• Augustus Graham Stern, M.D.

  • Ophthalmology Physician
  • Hagerstown, MD
  • NPI 1245405240
  NPD (past)
• Samantha Leigh Williamson, MD

  • Ophthalmology Physician
  • Baltimore, MD
  • NPI 1598056822
  NPD (past)

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783555200000",
    "number": "1720139512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6231 N CHARLES ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212121113",
            "telephone_number": "410-377-2044",
            "fax_number": "410-377-5897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6231 N CHARLES ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212121113",
            "telephone_number": "410-377-5821",
            "fax_number": "410-377-8061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALTIMORE EYE SURGICAL CENTER,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A",
        "authorized_official_last_name": "PASCETTA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "860-652-5002",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Baltimore Health Care P.C
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• Baltimore Healthcare and Wellness LLC

• Ambulatory Surgical Clinic/Center in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Ambulatory Surgical Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.