Active NPI
Whitney McConkey, O.D.
- Optometrist
- Baltimore, MD
National Provider Identifier
1275990145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TA2492
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| TA2492 | MD | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McConkey Eye Care LLC | Optometrist | Current | 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.
-
- Optometrist
- Baltimore, MD
- NPI 1902596224
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.