Individual provider Active NPI

Gwendoline Z Songwe, O.D.

  • Optometrist
  • Annapolis, MD
National Provider Identifier
1720429368
Registry record updated Sep 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TA2317 Issued in MD
Practice address
1040 Annapolis Mall
Annapolis, MD 21401-3483
Phone
(410) 266-6003
Fax
(410) 266-5437
NPI assigned
Jul 11, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TA2317 MD Primary

Addresses

Primary practice location

1040 Annapolis Mall
Annapolis, MD 21401-3483

Mailing address

7295 Flaxpool CT
Hanover, MD 21076-1772
Phone (301) 213-1277

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 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
I20130823000465 DC Practitioner - Optometry 8224271242 Reassigns benefits to 1 organization
I20140304000217 MD Practitioner - Optometry 8224271242 Practice locations: Annapolis, MD; Baltimore, MD; Nottingham, MD

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ronald S. Oser, MD, PAGroup PAC ID 9931163730, 2 clinicians

Practice addresses (Care Compare)

14201 Laurel Park Dr
Suite 208
Laurel, MD 20707-5203
Phone (301) 498-6616

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ronald S Oser MD PA CurrentSince Aug 1, 2022 Accepting new patients
Luxottica of America Inc Past Accepting new patients

Locations

14201 Laurel Park Dr
Ste 208
Laurel, MD 20707
Phone (301) 497-1656

Organizations & group practices 2

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": "1373500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441152000000",
    "number": "1720429368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7295 FLAXPOOL CT",
            "city": "HANOVER",
            "state": "MD",
            "postal_code": "210761772",
            "telephone_number": "301-213-1277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 ANNAPOLIS MALL",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013483",
            "telephone_number": "410-266-6003",
            "fax_number": "410-266-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONGWE",
        "first_name": "GWENDOLINE",
        "middle_name": "Z",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-11",
        "last_updated": "2015-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA2317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

Verify at the official NPI Registry.