NPIMap

Organization Active NPI

Specialty Benefits, LLC

Doing business as Spectera Vision Laboratory

  • Eyewear Supplier
  • Baltimore, MD
National Provider Identifier
1437512100
Registry record updated Mar 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
SPECIALTY BENEFITS, LLC
Doing business as
Spectera Vision Laboratory
Practice address
2111 Van Deman St
Baltimore, MD 21224-6609
Phone
(443) 957-6673
NPI assigned
Mar 31, 2016
Last updated
Mar 31, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
UNITED HEALTHCARE SERVICES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 31, 2016

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

Authorized official

Name
Mr. Philip Kaufman
Title
Chief Executive Officer
Phone
(952) 979-7110

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

2111 Van Deman St
Baltimore, MD 21224-6609

Mailing address

2111 Van Deman St
Baltimore, MD 21224-6609
Phone (443) 957-6673

Other names 1

  • Spectera Vision Laboratory Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Specialty Benefits LLC2 organizations share this tax ID, including this one
Part of
United Healthcare Servi

Other organizations with this tax ID 1

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1459382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459382400000",
    "number": "1437512100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2111 VAN DEMAN ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212246609",
            "telephone_number": "443-957-6673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2111 VAN DEMAN ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212246609",
            "telephone_number": "443-957-6673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALTY BENEFITS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNITED HEALTHCARE SERVICES, INC.",
        "enumeration_date": "2016-03-31",
        "last_updated": "2016-03-31",
        "status": "A",
        "authorized_official_last_name": "KAUFMAN",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "952-979-7110",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spectera Vision Laboratory",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2016; 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.