SPECTERA (NPI# 1104842186) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104842186 |
| Entity Type | Organization |
| Organization Name | SPECTERA |
| Other Organization Name | UNITED OPTICAL |
| Practice Address |
23 East Padonia Rd United Optical Timonium MD 21093 |
| Mailing Address |
2811 Lord Baltimore Dr Baltimore MD 21244 |
| Practice Telephone | 4106671910 |
| Practice Fax Number | 4106671909 |
| Mailing Telephone | 4433162101 |
| Mailing Fax Number | 4102656068 |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | THOMAS A HEETER (VP/DIRECTOR OF OPTICAL OPERATIONS) |
| Authorized Official Telephone | 4433162061 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers |
| Other Name | Type Code |
|---|---|
| United Optical | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962515270 | Spectera | Eyewear Supplier (Equipment, not the service) | 11627 Nebel Street, United Optical, Rockville, MD 20852 | 2006-08-17 |
| 1053424366 | Spectera | Eyewear Supplier (Equipment, not the service) | 1100 West Patrick Street, United Optical, Frederick, MD 21703 | 2006-08-17 |
| 1043236227 | Spectera | Eyewear Supplier (Equipment, not the service) | 183 W H St, Colton, CA 92324-2922 | 2006-07-14 |
| 1356367528 | Spectera | Eyewear Supplier (Equipment, not the service) | 7235 Corbin, United Optical - West Valley, Canoga Park, CA 91306 | 2006-07-14 |
| 1801812086 | Spectera | Eyewear Supplier (Equipment, not the service) | 110 S Labrea, United Optical Suite 450, Inglewood, CA 90301 | 2006-07-14 |
| 1851317838 | Spectera | Eyewear Supplier (Equipment, not the service) | 5875 Smith Rd, United Optical, Brook Park, OH 44142-2005 | 2006-07-14 |
| 1295751477 | Spectera | Eyewear Supplier (Equipment, not the service) | 12817 Gulf Fwy, #a United Optical, Houston, TX 77034-4807 | 2006-07-14 |
| 1184640351 | Spectera | Eyewear Supplier (Equipment, not the service) | 1425 E Lincoln, #g United Optical, Anaheim, CA 92805 | 2006-07-14 |
| 1013933910 | Spectera | Eyewear Supplier (Equipment, not the service) | United Optical, 1127 15th Street, Nw, Washington, DC 20005 | 2006-07-14 |
| 1518983584 | Spectera | Eyewear Supplier (Equipment, not the service) | 174 Midway Blvd, United Optical, Elyria, OH 44035-2786 | 2006-07-14 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | SPECTERA INC. | 10175 Little Patuxent Pkwy, Columbia, Maryland 21044 |
| New York State Corporations | SPECTERA OF NEW YORK, IPA, INC. | 111 Eighth Avenue, New York, New York 10011 |
| Virginia Business Entities | Spectera Vision Inc. | 4701 Cox Road Suite 301, Glen Allen, Virginia 23060 |
| Indiana Business Entities | SPECTERA VISION, INC. | 4701 Cox Road, Suite 301, Glen Allen, VA 23060 |
| Iowa Business Entities | SPECTERA, INC. | 10175 Little Patuxent Parkway, Columbia, MD 21044 |
| Colorado Business Entities | SPECTERA, INC. | 10175 Little Patuxent Parkway, Columbia, MD 21044 |
| Oregon Corporations, Companies and Business Names | SPECTERA, INC. | 10175 Little Patuxent Parkway, Columbia, MD 21044 |
| New York State Corporations | SPECTERA, INC. | 111 Eighth Avenue, New York, New York 10011 |
| Washington State Corporations | SPECTERA, INC. | 10175 Little Patuxent Parkway, Columbia, MD 21044 |
| Vermont Business Registrations | SPECTERA, INC. | 6220 Old Dobbin Lane, Liberty 6, Suite 200, Columbia, MD 21045 |
| Street Address |
23 EAST PADONIA RD UNITED OPTICAL |
| City | TIMONIUM |
| State | MD |
| Zip Code | 21093 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497309959 | Megan Lagergren | Social Worker | 1407 York Rd. Suite 307, Baltimore, MD 21093 | 2019-08-01 |
| 1437629003 | Mary Ann Lopus | Counselor | Villa Maria School 2300 Dulaney Valley Road, Timonium, MD 21093 | 2018-11-27 |
| 1275001455 | Hannah Michele Breckenridge | Social Worker | 1212 York Rd Ste A302, Lutherville, MD 21093 | 2018-11-06 |
| 1386111573 | Christina Calabrese | Social Worker | Villa Maria School, 2300 Dulaney Valley Road, Timonium, MD 21093 | 2018-10-26 |
| 1790279735 | Synopsis Healthscience | Internal Medicine | 19 Huntress Ct, Timonium, MD 21093 | 2018-06-21 |
| 1134648629 | Centers for Advanced Orthopaedics, LLC | Occupational Therapist | 1312 Bellona Ave Ste 302, Lutherville, MD 21093 | 2017-09-15 |
| 1134647746 | Andrea Stokes Rackowski | Social Worker | 1400 Front Ave. Suite 305, Lutherville, MD 21093 | 2017-09-03 |
| 1790200780 | Judson Franklin Force Jr. | Pediatrics | 309 Overlook Dr, Timonium, MD 21093 | 2017-08-10 |
| 1942722053 | Eundae Suk | Chiropractor | 1407 York Rd Ste 302, Lutherville, MD 21093 | 2017-07-10 |
| 1508301482 | Bh Brightview Mays Chapel Ridge Opco, LLC | Alzheimer Center (Dementia Center) | 12261 Roundwood Road, Timonium, MD 21093 | 2016-12-30 |
| Find all providers in zip 21093 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417001017 | For Eyes Optical of Pa | Eyewear Supplier (Equipment, not the service) | 1952 York Rd, Timonium, MD 21093-4226 | 2007-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518565613 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 44950 Worth Ave, California, MD 20619-2418 | 2020-10-12 |
| 1336747575 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 1781 Ritchie Station Ct, Capitol Heights, MD 20743-5064 | 2020-10-10 |
| 1336756238 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 16520 Ballpark Rd, Bowie, MD 20716-3684 | 2020-09-25 |
| 1518573682 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 8139 Gov Ritchie Hwy, Pasadena, MD 21122-6919 | 2020-09-23 |
| 1720608573 | Optilens Vision Center | Eyewear Supplier (Equipment, not the service) | 1490 W Patapsco Ave Ste E, Baltimore, MD 21230-3400 | 2020-04-22 |
| 1366085888 | Azar Eye Optical, LLC | Eyewear Supplier (Equipment, not the service) | 31519 Winterplace Pkwy Ste 2, Salisbury, MD 21804-1894 | 2019-10-28 |
| 1295387298 | Dasod Eye Care LLC | Eyewear Supplier (Equipment, not the service) | 26772 Point Lookout Rd, Leonardtown, MD 20650-4905 | 2019-07-10 |
| 1962061523 | Bradley Sultan | Eyewear Supplier (Equipment, not the service) | 9315 Morning Walk Dr, Hagerstown, MD 21740-1485 | 2019-06-07 |
| 1447816293 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 7141 Arlington Rd Ste W1, Bethesda, MD 20814-2908 | 2019-05-17 |
| 1235610346 | For Eyes Optical Inc | Eyewear Supplier (Equipment, not the service) | 10010 Reisterstown Rd, Owings Mills, MD 21117-4158 | 2018-08-27 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.