Advanced Eye Care Medical Center, PA
NPI 1790990505 · Ophthalmology Physician · Glenn Dale, MD
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Advanced Eye Care Medical Center, PA is a Ophthalmology Physician organization in Glenn Dale, MD (NPI 1790990505).
Provider details
- NPI number
- 1790990505
- Entity type
- Organization
- Primary specialty
- Ophthalmology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Renee Bovelle, Owner(301) 805-4664
- License
- D0056686 (MD)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-05-14
- Last updated
- 2013-05-23
Frequently asked questions
- What is Advanced Eye Care Medical Center, PA's NPI number?
- Advanced Eye Care Medical Center, PA's National Provider Identifier (NPI) is 1790990505, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Advanced Eye Care Medical Center, PA?
- Advanced Eye Care Medical Center, PA is classified in the NPPES registry as Ophthalmology Physician (Allopathic & Osteopathic Physicians).
- Where is Advanced Eye Care Medical Center, PA located?
- Advanced Eye Care Medical Center, PA's practice location on file with NPPES is 12200 Annapolis Rd, Glenn Dale, MD 20769-9182.
- What is Advanced Eye Care Medical Center, PA's phone number?
- The practice phone number listed in the NPPES registry for Advanced Eye Care Medical Center, PA is (301) 805-4664.
- Does Advanced Eye Care Medical Center, PA accept Medicare?
- Advanced Eye Care Medical Center, PA is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Advanced Eye Care Medical Center, PA?
- The authorized official listed on Advanced Eye Care Medical Center, PA's NPPES record is Renee Bovelle, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Advanced Eye Care Medical Center, PA's NPI active?
- Yes — Advanced Eye Care Medical Center, PA's NPI (1790990505) is active in the NPPES registry as of the last update on 2013-05-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.