OrganizationActive
Custom Eyes Optical
NPI 1720292865 · Optometrist · Reisterstown, MD
Custom Eyes Optical is a Optometrist organization in Reisterstown, MD (NPI 1720292865).
Provider details
- NPI number
- 1720292865
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Fred Havelock, Pres(410) 833-1910
- License
- TA0666 (MD)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
11977 Reisterstown Rd
Reisterstown, MD 21136-3030
Phone: (410) 833-1910
Fax: (410) 833-1911
Street-level locationGet directions
Mailing address
11977 Reisterstown Rd
Reisterstown, MD 21136-3030
Registry dates
- Enumerated
- 2007-05-09
- Last updated
- 2020-08-22
Frequently asked questions
- What is Custom Eyes Optical's NPI number?
- Custom Eyes Optical's National Provider Identifier (NPI) is 1720292865, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Custom Eyes Optical?
- Custom Eyes Optical is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Custom Eyes Optical located?
- Custom Eyes Optical's practice location on file with NPPES is 11977 Reisterstown Rd, Reisterstown, MD 21136-3030.
- What is Custom Eyes Optical's phone number?
- The practice phone number listed in the NPPES registry for Custom Eyes Optical is (410) 833-1910.
- Who is the authorized official for Custom Eyes Optical?
- The authorized official listed on Custom Eyes Optical's NPPES record is Fred Havelock, Pres. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Custom Eyes Optical's NPI active?
- Yes — Custom Eyes Optical's NPI (1720292865) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.