Provider Demographics
NPI:1134766835
Name:THE SPEC SPOT, LLC.
Entity type:Organization
Organization Name:THE SPEC SPOT, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MAUREEN
Authorized Official - Middle Name:
Authorized Official - Last Name:MATTHEWS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:330-758-8183
Mailing Address - Street 1:7087 WEST BLVD STE 4
Mailing Address - Street 2:
Mailing Address - City:YOUNGSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44512-4335
Mailing Address - Country:US
Mailing Address - Phone:330-758-0767
Mailing Address - Fax:330-758-8849
Practice Address - Street 1:7087 WEST BLVD STE 4
Practice Address - Street 2:
Practice Address - City:YOUNGSTOWN
Practice Address - State:OH
Practice Address - Zip Code:44512-4335
Practice Address - Country:US
Practice Address - Phone:330-758-0767
Practice Address - Fax:330-758-8849
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-02
Last Update Date:2023-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier