NPIMap

Organization Active NPI

Spectera

  • Eyewear Supplier
  • Frederick, MD
National Provider Identifier
1053424366
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
SPECTERA
Practice address
1100 West Patrick Street
United Optical
Frederick, MD 21703
Phone
(301) 698-0303
Fax
(301) 698-8939
NPI assigned
Aug 17, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Thomas A Heeter
Title
VP Director of Optical Operations
Phone
(443) 316-2061

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

1100 West Patrick Street
United Optical
Frederick, MD 21703

Mailing address

2811 Lord Baltimore Dr
Baltimore, MD 21244
Phone (443) 316-2101

Other names 1

  • United Optical Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Spectera45 organizations share this tax ID, including this one

Other organizations with this tax ID 44

Organizations that report the same tax identification number in the National Provider Directory.

View all 44

Locations

1100 W Patrick St
Frederick, MD 21703
Phone (301) 662-6478

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053424366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2811 LORD BALTIMORE DR",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21244",
            "telephone_number": "443-316-2101",
            "fax_number": "410-265-6068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 WEST PATRICK STREET",
            "address_2": "UNITED OPTICAL",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "21703",
            "telephone_number": "301-698-0303",
            "fax_number": "301-698-8939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTERA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HEETER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "VP  DIRECTOR OF OPTICAL OPERATIONS",
        "authorized_official_telephone_number": "443-316-2061"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "United Optical",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.