ADVANCED EYE LASER AND SURGERY CENTER – NPI #1174329502
Clinic/Center

ADVANCED EYE LASER AND SURGERY CENTER is an AHC clinic located in SPARKS, MD. NPPES has assigned the NPI number 1174329502 to ADVANCED EYE LASER AND SURGERY CENTER on February 25, 2025. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was last updated on May 21, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ADVANCED EYE LASER AND SURGERY CENTER below.

NPI Profile for
ADVANCED EYE LASER AND SURGERY CENTER

NPI Number
1174329502
Enumeration Date

(more than a year ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ADVANCED EYE LASER AND SURGERY CENTER
Primary location
954 RIDGEBROOK RD STE 300
SPARKS, MD 21152-9440
Phone: (410) 618-5640 Fax: (410) 846-6905
Mailing address
1600 6TH AVE STE 119B
YORK, PA 17403-2627
Phone: (717) 650-6148 Fax: (443) 927-7515
Organization Subpart
No
Authorized Official
SUDEEP PRAMANIK
PRESIDENT
Phone: (717) 599-2747
Updated
Certification Date
May 21, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)
261QS0132X
- Clinic/Center / Ophthalmologic Surgery

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.