Provider Demographics
NPI:1932381068
Name:AMERICAN EYE CARE CENTER INC
Entity Type:Organization
Organization Name:AMERICAN EYE CARE CENTER INC
Other - Org Name:AMERICAN EYE CARE CANTER INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OPHTHALMOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:HAMEED
Authorized Official - Middle Name:U
Authorized Official - Last Name:PERACHA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:703-820-0804
Mailing Address - Street 1:8630 FENTON ST
Mailing Address - Street 2:SUIT # 900
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910-3806
Mailing Address - Country:US
Mailing Address - Phone:301-589-7474
Mailing Address - Fax:301-589-7159
Practice Address - Street 1:8630 FENTON ST
Practice Address - Street 2:SUIT # 900
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910-3806
Practice Address - Country:US
Practice Address - Phone:301-589-7474
Practice Address - Fax:301-589-7159
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-30
Last Update Date:2011-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
G00661Medicare PIN