Organization
SPECTERA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER LEWIS-DAVID (DEPUTY GENERAL COUNSEL MGR)
(443) 896-0623
Entity
Organization
Contact information
Practice address
2111 VAN DEMAN ST, BALTIMORE, MD 21224-6609
(410) 631-2840
Mailing address
6220 OLD DOBBIN LN, COLUMBIA, MD 21045-5812
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
01/28/2016
Last updated
01/28/2016
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