Individual provider Active NPI

Gayle E Leposa, O.D.

  • Optometrist
  • Baltimore, MD
National Provider Identifier
1457649261
Registry record updated Nov 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TA2292 Issued in MD
Practice address
600 N Wolfe St
Basement
Baltimore, MD 21287-0005
Phone
(410) 955-5650
NPI assigned
Jul 13, 2011
Last updated
Nov 7, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Optometrist 152W00000X 0618002120 VA
Optometrist 152W00000X TA2292 MD Primary

Addresses

Primary practice location

600 N Wolfe St
Basement
Baltimore, MD 21287-0005

Mailing address

600 N Wolfe St
Basement
Baltimore, MD 21287-0005
Phone (410) 955-5650

Other names 1

  • Gayle E Lowe Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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 1

Enrollment IDStateProvider typePAC IDDetails
I20120710000053 MD Practitioner - Optometry 2264697606 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0618002120VAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Johns Hopkins University CurrentSince Sep 1, 2013 Accepting new patients
Johns Hopkins University Optometrist CurrentSince Sep 1, 2013 Accepting new patients
St. Paul Place Specialists, Inc. Current Accepting new patients
Johns Hopkins University Current Accepting new patients

Locations

301 Saint Paul St
Baltimore, MD 21202
Phone (410) 385-4930

600 N Wolfe St
#B29
Baltimore, MD 21287
Phone (410) 955-5650

600 N Wolfe St
Bsmt
Baltimore, MD 21287
Phone (410) 955-5650

10751 Falls Rd
Timonium, MD 21093
Phone (410) 583-2727

Interoperability endpoints

  • Direct secure messaging: gayle.leposa.p1@direct.levineyecare.nextgenshare.com
  • Direct secure messaging: gleposa843826@direct.hopkinsmedicine.org

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1310515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383782400000",
    "number": "1457649261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 N WOLFE ST",
            "address_2": "BASEMENT",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212870005",
            "telephone_number": "410-955-5650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N WOLFE ST",
            "address_2": "BASEMENT",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212870005",
            "telephone_number": "410-955-5650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEPOSA",
        "first_name": "GAYLE",
        "middle_name": "E",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-13",
        "last_updated": "2013-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618002120",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA2292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GAYLE",
            "last_name": "LOWE",
            "middle_name": "E",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.