Actualeyes

LBN: Chippewa Optical Llc
Actualeyes is an health care organization with primary practice located at 305 Reisterstown Rd , Baltimore MD 21208-5313. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Optician. Eye and Vision Services Providers / Optometrist is the primary health care specialty. Chippewa Optical Llc can be contacted via phone (410) 406-7951, or through Berkovits, Dovid Pinchus via phone (410) 406-7951.

Contact Information

Primary practice address
305 Reisterstown Rd Baltimore MD 21208-5313
Phone: (410) 406-7951
Fax: (443) 648-9001
Website:
Map and Directions
Authorized official contact:
Name: Berkovits, Dovid Pinchus
Phone: (410) 406-7951

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X
Eye and Vision Services Providers / Optician 156FX1800X

Profile Details

NPI number 1972017358
LBN Legal business name Chippewa Optical Llc
DBA Doing business as Actualeyes
Authorized official Berkovits, Dovid Pinchus
Entity Organization
Organization subpart 1 No
Enumeration date Nov 21st, 2017
Last updated Dec 21st, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972017358 NPPES
Maryland MEDICAID 555350400

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