Individual provider Active NPI

Luis A. Toledo-Espiett, O.D.

  • Optometrist
  • Silver Spring, MD
National Provider Identifier
1235353384
Registry record updated Jul 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TA-2249 Issued in MD
Practice address
11160 Veirs Mill Rd SPC G1
Silver Spring, MD 20902-2542
Phone
(443) 970-9044
NPI assigned
Apr 12, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 645 PR
Optometrist 152W00000X TA-2249 MD Primary

Addresses

Primary practice location

11160 Veirs Mill Rd SPC G1
Silver Spring, MD 20902-2542

Mailing address

1900 Chapman Ave Apt 416
Rockville, MD 20852-1986
Phone (443) 970-9044

Other practice location 1

831 University Blvd E Ste 11
Silver Spring, MD 20903-2921
Phone (301) 431-0431

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggateways Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120821000113 MD Practitioner - Optometry 7416126495 Reassigns benefits to 1 organization
I20201123000353 DC Practitioner - Optometry 7416126495 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11160 Veirs Mill Rd
SPC G1
Wheaton, MD 20902-2542
Phone (301) 949-0170

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TA-2249MDMDOptometrist
645PRMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland Eye Associates, P.a. CurrentSince Jul 30, 2012 Accepting new patients
Kaiser Foundation Health Plan of the Mid Atlantic States, Inc Optometrist CurrentSince Nov 23, 2020 Accepting new patients
University of Maryland Eye Associates, P.a. CurrentSince Jul 30, 2012 Accepting new patients
Kaiser Foundation Health Plan of the Mid Atlantic States, Inc CurrentSince Nov 23, 2020 Accepting new patients
Luis Toledo-Espiett, OD, LLC Optometrist CurrentSince Mar 16, 2023 Accepting new patients

Locations

827 Linden Ave
Baltimore, MD 21201
Phone (410) 225-8100

419 W Redwood St
Ste 420
Baltimore, MD 21201
Phone (410) 328-6533

1221 Mercantile Ln
Upper Marlboro, MD 20774
Phone (301) 618-5500

11160 Veirs Mill Rd
Spc G1
Wheaton, MD 20902
Phone (301) 294-0883

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688256000000",
    "number": "1235353384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 CHAPMAN AVE APT 416",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208521986",
            "telephone_number": "443-970-9044",
            "fax_number": "787-820-2136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11160 VEIRS MILL RD SPC G1",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209022542",
            "telephone_number": "443-970-9044"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "831 University Blvd E Ste 11",
            "address_purpose": "LOCATION",
            "city": "Silver Spring",
            "state": "MD",
            "postal_code": "209032921",
            "country_code": "US",
            "telephone_number": "301-431-0431",
            "fax_number": "301-431-0470",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TOLEDO-ESPIETT",
        "first_name": "LUIS",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-12",
        "last_updated": "2023-07-02",
        "certification_date": "2023-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PR",
            "license": "645",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA-2249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggateways",
            "affiliation": "N",
            "endpointDescription": "Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "831 University Blvd E Ste 11",
            "city": "Silver Spring",
            "state": "MD",
            "country_code": "US",
            "postal_code": "209032921",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

Verify at the official NPI Registry.