Spencer James McConkie, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

1052 Issued in NV

Practice address

2209 N 5TH St
Elko, NV 89801-2458

Phone

(775) 738-8491

Fax

(775) 738-3313

NPI assigned

May 27, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

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

Specialty

Optometry

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Colon and Alleman LTDGroup PAC ID 4880671320, 4 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/AEEJCD
• Direct secure messaging: smcconkie@colonalleman.eyefinity-direct.com

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.

• Colon & Alleman LTD

  • Optometrist
  • Elko, NV
  • NPI 1760568422
  Medicare reassignment Care Compare group NPD
• Wayne Hudson DO Integrated Medical Practice PLLC

  • Multi-Specialty Clinic/Center
  • Lamar, CO
  • NPI 1093449415
  NPD

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

{
    "created_epoch": "1464307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618185600000",
    "number": "1366890634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2209 N 5TH ST",
            "city": "ELKO",
            "state": "NV",
            "postal_code": "898012458",
            "telephone_number": "775-738-8491",
            "fax_number": "775-738-3313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2209 N 5TH ST",
            "city": "ELKO",
            "state": "NV",
            "postal_code": "898012458",
            "telephone_number": "775-738-8491",
            "fax_number": "775-738-3313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCONKIE",
        "first_name": "SPENCER",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-27",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "OPT.0003207",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "1052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valerie Masingale
• Annabelle Elizabeth Matson
• Morgan Denae McClanahan
• Marylou McClelland, RN
• Robert H McClelland, PHARMD, BCPS
• Erica McCready
• Darlene McGee
• Tanya McKay
• Shannon Doyle McKinney, D.C.
• William R McKnight, D.C.

• Optometrist in Elko, NV
• Providers in Elko, NV by specialty
• Optometrist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2021; 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.

Verify at the official NPI Registry.