Organization
SPECTERA
Active
Other names
United Optical
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS A HETTER (VICE PRESIDENT DIRECTOR OF OPTICAL)
(443) 316-2061
Entity
Organization
Contact information
Practice address
925 NATIONAL HIGHWAY, CUMBERLAND LOVALE, MD 21502
(301) 729-2243
(301) 729-1559
Mailing address
2811 LORD BALTIMORE DR, BALTIMORE, MD 21244
(443) 316-2101
(410) 265-6068
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
07/14/2006
Last updated
08/22/2020
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