Individual provider Active NPI

Whitney McConkey, O.D.

  • Optometrist
  • Baltimore, MD
National Provider Identifier
1275990145
Registry record updated Apr 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TA2492 Issued in MD
Practice address
4425 Fitch Ave Ste 120
Baltimore, MD 21236-3927
Phone
(410) 459-5320
NPI assigned
Jan 24, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TA2492 MD Primary

Addresses

Primary practice location

4425 Fitch Ave Ste 120
Baltimore, MD 21236-3927

Mailing address

1420 Saratoga Dr
Bel Air, MD 21014-5516
Phone (410) 459-5320

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
I20160630000020 MD Practitioner - Optometry 8628360245 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4425 Fitch Ave
Suite 120
Nottingham, MD 21236-3927
Phone (443) 453-5444

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TA2492MDMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
McConkey Eye Care LLC Optometrist CurrentSince Apr 25, 2023 Accepting new patients

Locations

1128 Baldwin Mill Rd
Jarrettsville, MD 21084
Phone (410) 692-5591

4425 Fitch Ave
Ste 120
Nottingham, MD 21236
Phone (410) 459-5320

Organizations & group practices 1

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": "1453593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682380800000",
    "number": "1275990145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 SARATOGA DR",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210145516",
            "telephone_number": "410-459-5320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4425 FITCH AVE STE 120",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212363927",
            "telephone_number": "410-459-5320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCONKEY",
        "first_name": "WHITNEY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-24",
        "last_updated": "2023-04-25",
        "certification_date": "2023-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA2492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.