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CUSTOM EYES OPTICAL
NPI 1720292865
Optometrist in Reisterstown, MD

Active since May 09, 2007
11977 REISTERSTOWN RD, REISTERSTOWN, MD 21136(410) 833-1910(410) 833-1911 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Custom Eyes Optical NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CUSTOM EYES OPTICAL (NPI 1720292865) is a healthcare organization registered as an optometrist in Reisterstown, Maryland and active in the NPI registry since May 2007. The organization lists Fred Havelock, Pres, as its authorized official.

NPPES Registry Identity

NPI1720292865
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameCUSTOM EYES OPTICAL
Location Address11977 REISTERSTOWN RDReisterstown, MD 21136-3030
Mailing Address11977 Reisterstown RdReisterstown, MD 21136-3030 · (410) 833-1910 · Fax (410) 833-1911
Phone(410) 833-1910
Fax(410) 833-1911
Organization SubpartNo
Authorized OfficialFred HavelockPres · (410) 833-1910
Enumeration DateMay 9, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1720292865 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in MD · TA0666
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
11977 REISTERSTOWN RD, Reisterstown, MD 21136
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross Blue Shield of Wyoming.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Custom Eyes Optical's NPI number?

The NPI number for Custom Eyes Optical is 1720292865. It was assigned to this organization in the NPPES registry on May 9, 2007.

Where is Custom Eyes Optical located?

Custom Eyes Optical is located at 11977 Reisterstown Rd, Reisterstown, MD 21136. The listed phone number is (410) 833-1910.

What is Custom Eyes Optical's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

What insurance does Custom Eyes Optical accept?

Health plans from Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana list Custom Eyes Optical as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Custom Eyes Optical was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.