Spectera
Organization Active NPI Eyewear Supplier · Woodlawn, MD
NPI 1194741165 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1194741165
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Eyewear Supplier 332H00000X
- Legal business name
- SPECTERA
- Practice address
- United Optical
6630 Security Blvd
Woodlawn, MD 21207 - Phone
- (410) 298-4040
- Fax
- (410) 298-4167
- NPI assigned
- Jul 14, 2006
- Organization subpart
- No
Authorized official
- Name
- Thomas A Heeter
- Title
- Vice President
- Phone
- (443) 316-2061
Corporate family (same tax ID) 44
Practitioners 1
-
Martin Lee Tomko, OD
National Provider Directory
- Tax ID family
- Spectera
Locations
6630 Security Blvd
Woodlawn, MD 21207
Phone (410) 298-4040
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | Yes |
Addresses
Primary practice location
United Optical
6630 Security Blvd
Woodlawn, MD 21207
Mailing address
2811 Lord Baltimore Dr.
Baltimore, MD 21244
Phone (443) 316-2101
Other names
- United Optical
Other providers in Woodlawn, MD
- Bridget D Schilling
- Miriam Schwartz
- Jonathan Joel Shepherd
- Angalene Sims
- Smile Street Dental
- Lisa Miller Strand
- Towanda Street
- Natasha Nicole Sye
- Titan Rehab Services
- Trinity Health Care Services LLC
All providers in Woodlawn, MD · Eyewear Supplier in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.