Healthcare Provider Details

I. General information

NPI: 1780800359
Provider Name (Legal Business Name): PHYSICIANS EYE CARE CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/18/2007
Last Update Date: 10/08/2025
Certification Date: 10/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 PINE HEIGHTS AVE SUITE 101
BALTIMORE MD
21229-5208
US

IV. Provider business mailing address

1001 PINE HEIGHTS AVE SUITE 101
BALTIMORE MD
21229-5208
US

V. Phone/Fax

Practice location:
  • Phone: 410-644-9515
  • Fax:
Mailing address:
  • Phone: 410-644-9515
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number
License Number State

VIII. Authorized Official

Name: SNEH DHANNAWAT
Title or Position: OWNER
Credential: M.D.
Phone: 410-644-9515