NPIMap

Organization Active NPI

Spectera, Inc.

  • Eyewear Supplier
  • Baltimore, MD
National Provider Identifier
1851758346
Registry record updated Jan 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
SPECTERA, INC.
Practice address
2111 Van Deman St
Baltimore, MD 21224-6609
Phone
(410) 631-2840
NPI assigned
Jan 28, 2016
Last updated
Jan 28, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2016

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

Authorized official

Name
Jennifer Lewis-David
Title
Deputy General Counsel MGR
Phone
(443) 896-0623

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X NU Primary

Addresses

Primary practice location

2111 Van Deman St
Baltimore, MD 21224-6609

Mailing address

6220 Old Dobbin LN
Columbia, MD 21045-5812

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

2111 Van Deman St
Baltimore, MD 21224
Phone (410) 631-2840

6220 Old Dobbin Ln
Columbia, MD 21045
Phone (443) 896-0710

NPI Registry JSON

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

{
    "created_epoch": "1453939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453939200000",
    "number": "1851758346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6220 OLD DOBBIN LN",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210455812"
        },
        {
            "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": "410-631-2840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTERA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-28",
        "last_updated": "2016-01-28",
        "status": "A",
        "authorized_official_last_name": "LEWIS-DAVID",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "DEPUTY GENERAL COUNSEL MGR",
        "authorized_official_telephone_number": "443-896-0623"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jan 28, 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.