Organization Active NPI

Physicians Eye Care Center LLC

  • Ophthalmology Physician
  • Baltimore, MD
National Provider Identifier
1780800359
Registry record updated Oct 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
PHYSICIANS EYE CARE CENTER LLC
Practice address
1001 Pine Heights Ave
Suite 101
Baltimore, MD 21229-5208
Phone
(410) 644-9515
NPI assigned
Apr 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2025

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

Authorized official

Name
Sneh Dhannawat, M.D.NPI 1124434063
Title
Owner
Phone
(410) 644-9515

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 Primary

Addresses

Primary practice location

1001 Pine Heights Ave
Suite 101
Baltimore, MD 21229-5208

Mailing address

1001 Pine Heights Ave
Suite 101
Baltimore, MD 21229-5208
Phone (410) 644-9515

Other identifiers 4

IdentifierTypeStateIssuer
151100900MedicaidMD
KX63PHOtherMDBLUE CROSS
5322OtherMDBLUE SHIELD OF NATIONAL C
34311OtherMDDAVIS VISION

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051018000555 MD Part B Supplier - Clinic/Group Practice 9436175684 Receives reassigned benefits from 7 practitioners
Practice locations: Baltimore, MD; Columbia, MD; Marriottsville, MD

National Provider Directory

National Provider Directory

Locations

11055 Little Patuxent Pkwy
#101
Columbia, MD 21044

10132 Baltimore National Pike
Ste D
Ellicott City, MD 21042
Phone (410) 480-9966

10132 Baltimore National Pike
Ellicott City, MD 21042

2400 Longstone Ln
Ste 206
Marriottsville, MD 21104
Phone (410) 480-9966

2400 Longstone Ln
Ste 201
Marriottsville, MD 21104

Interoperability endpoints

  • Direct secure messaging: ppillai@physicianseyecare.intellechartdirect.net
  • Direct secure messaging: sdhannawat@physicianseyecare.intellechartdirect.net
  • Direct secure messaging: jetter@physicianseyecare.intellechartdirect.net
  • Direct secure messaging: jwexler@physicianseyecare.intellechartdirect.net
  • Direct secure messaging: mwarden@physicianseyecare.intellechartdirect.net

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": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759881600000",
    "number": "1780800359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 PINE HEIGHTS AVE",
            "address_2": "SUITE 101",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212295208",
            "telephone_number": "410-644-9515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 PINE HEIGHTS AVE",
            "address_2": "SUITE 101",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212295208",
            "telephone_number": "410-644-9515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS EYE CARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A",
        "authorized_official_last_name": "DHANNAWAT",
        "authorized_official_first_name": "SNEH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-644-9515",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "151100900",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "KX63PH",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF NATIONAL C",
            "identifier": "5322",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVIS VISION",
            "identifier": "34311",
            "state": "MD"
        }
    ],
    "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 Oct 8, 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.