BALTIMORE EYE SURGICAL CENTERLLC NPI 1720139512

NPI Information

  • NPI: 1720139512
  • Provider Name: BALTIMORE EYE SURGICAL CENTER,LLC
  • Classification: Clinic/Center - 261QS0132X
  • Specialization: Ophthalmologic Surgery
  • Entity Type: Organization
  • CLIA Number: 21D1088589
  • Address: 6231 N CHARLES ST
    BALTIMORE, MD
    ZIP 21212
  • Phone: (410) 377-5821

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NPI Details

BALTIMORE EYE SURGICAL CENTER,LLC is an ophthalmologic surgery clinic center in Baltimore, MD. BALTIMORE EYE SURGICAL CENTER,LLC NPI is 1720139512. The provider is registered as an organization entity type.

The provider's business location address is:

6231 N CHARLES ST
BALTIMORE, MD
ZIP 21212-113
Phone: (410) 377-5821
Fax: (410) 377-8061

The provider's authorized official is Marcos Thomas Doxanas .
The authorized official title is Owner and has the following contact phone number (410) 377-5821.

The CLIA number assigned to this NPI record is 21D1088589 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml (HCPCS:J1097)
  • Removal of cataract with insertion of prosthetic lens (HCPCS:66984)
  • Removal of recurring cataract in lens capsule using a laser (HCPCS:66821)
  • Dexamethasone, lacrimal ophthalmic insert, 0.1 mg (HCPCS:J1096)
  • Repair of brow paralysis (HCPCS:67900)
  • Complex removal of cataract with insertion of prosthetic lens (HCPCS:66982)
  • Repair of tendon of upper eyelid (HCPCS:67904)
  • Removal of excessive skin and fat of upper eyelid (HCPCS:15823)
  • Dilation to improve eye fluid flow (HCPCS:66174)
  • Extensive repair of turning-outward eyelid defect (HCPCS:67917)
  • Laser repair to improve eye fluid flow (HCPCS:65855)
  • Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye (HCPCS:66991)
  • Processing, preserving and transporting corneal tissue (HCPCS:V2785)
  • Transplantation of outer layer of corneal tissue (HCPCS:65756)

The enumeration date for this NPI number is 1/16/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QS0132XClinic/CenterOphthalmologic SurgeryYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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