Advanced Eye Care Medical Center, PA
NPI 1790990505ActiveOrganization· Ophthalmology· Glenn Dale, MD
Ophthalmology in Glenn Dale, Maryland, registered in NPPES in May 2007. The authorized official on file is Renee Bovelle, M.D., Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1790990505 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 14, 2007 |
| Last updated in NPPES | May 23, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Ophthalmology Primary | 207W00000X | D0056686 | MD |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (DC) |
|---|
Other Ophthalmology providers in Glenn Dale
- 1124460621
- 1801381884
- 1588732424
- 1265827745