Healthcare Provider Details
I. General information
NPI: 1679633598
Provider Name (Legal Business Name): MEDICAL EYE CENTER PA
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/11/2006
Last Update Date: 10/16/2025
Certification Date: 10/16/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8860 COLUMBIA 100 PARKWAY SUITE 101
COLUMBIA MD
21045-2135
US
IV. Provider business mailing address
8860 COLUMBIA 100 PARKWAY SUITE 101
COLUMBIA MD
21045-2135
US
V. Phone/Fax
- Phone: 410-997-9900
- Fax: 410-997-4498
- Phone: 410-997-9900
- Fax: 410-997-4498
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207W00000X |
| Taxonomy | Ophthalmology Physician |
| License Number | |
| License Number State | MD |
VIII. Authorized Official
Name: DR.
LENARD
H
HAMMER
Title or Position: PRESIDENT
Credential: M.D.
Phone: 410-997-9900