OrganizationActive
Chippewa Optical LLC
NPI 1972017358 · Optometrist · Baltimore, MD
Provider details
- NPI number
- 1972017358
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Dovid Berkovits, Member(410) 406-7951
Specialties & taxonomies
Eye and Vision Services Providers
- Optician156FX1800X
Eye and Vision Services Providers
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
305 Reisterstown Rd
Baltimore, MD 21208-5313
Phone: (410) 406-7951
Fax: (443) 648-9001
Street-level locationGet directions
Mailing address
305 Reisterstown Rd
Pikesville, MD 21208-5313
Other names (DBA / former)
- Doing business as
- Actualeyes
Additional practice locations (1)
- 6808 Chippewa DrBaltimore, MD 21209-1435Phone: (410) 406-7951Fax: (443) 648-9001
Registry dates
- Enumerated
- 2017-11-21
- Last updated
- 2021-12-21
- Certified
- 2021-12-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.