Organization · Type 2 NPI
Spectera
Eyewear Supplier · Woodlawn, MD
NPI number
1194741165
Active
Practice location
United Optical, 6630 Security Blvd
Woodlawn, MD 21207
Fax (410) 298-4167
Mailing address
2811 Lord Baltimore Dr.
Baltimore, MD 21244
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Eyewear Supplier Primary | 332H00000X | None listed |
Eyewear Supplier: An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
About NPI 1194741165
Spectera's National Provider Identifier is 1194741165, issued on Jul 14, 2006. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Woodlawn, MD. The record was last updated on Aug 22, 2020.