OrganizationActive
Advanced Eye Laser and Surgery Center
NPI 1174329502 · Ambulatory Surgical Clinic/Center · Sparks, MD
Provider details
- NPI number
- 1174329502
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Sudeep Pramanik, President(717) 599-2747
Specialties & taxonomies
Ambulatory Health Care Facilities
- Ophthalmologic Surgery Clinic/Center261QS0132X
Ambulatory Health Care Facilities
Practice location
954 Ridgebrook Rd Ste 300
Sparks, MD 21152-9440
Phone: (410) 618-5640
Fax: (410) 846-6905
Approximate (ZIP-level) locationGet directions
Mailing address
1600 6th Ave Ste 119b
York, PA 17403-2627
Registry dates
- Enumerated
- 2025-02-25
- Last updated
- 2026-05-21
- Certified
- 2026-05-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.