Active NPI
Tyra M Myers McConkey, OD
- Optometrist
- Lawrenceville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT002531
- Practice address
- 725 Walther Rd BLDG 100
Lawrenceville, GA 30046-8725 - Phone
- (770) 513-3300
- Fax
- (678) 990-8252
- NPI assigned
- Jun 30, 2009
- 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 | OPT002531 | GA | Primary |
Addresses
Primary practice location
725 Walther Rd BLDG 100
Lawrenceville, GA 30046-8725
Mailing address
725 Walther Rd BLDG 100
Lawrenceville, GA 30046-8725
Phone (770) 513-3300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- 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, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
725 Walther Rd
Suite 100
Lawrenceville, GA 30046-8725
Phone (770) 513-3300
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Forster Eye Care, P.C. | Optometrist | Current | Accepting new patients |
| Dalton Family Eyecare, Inc. | Optometrist | Current | Accepting new patients |
| Reagin Decatur Group, LLC | Current | Accepting new patients | |
| Depoe Eye Center PC | Optometrist | Past | Accepting new patients |
| Reagin Optometric Group, P.a. | Optometrist | Past | Accepting new patients |
Locations
1801 Highway 129 S
Cleveland, GA 30528
Phone (706) 219-4444
134 Ansley Dr
Ste 300
Dahlonega, GA 30533
Phone (706) 219-4444
216 Church St
Decatur, GA 30030
Phone (404) 378-3694
104 Church St
Decatur, GA 30030
Phone (404) 378-3694
725 Walther Rd
#100
Lawrenceville, GA 30046
Phone (770) 513-3300
Organizations & group practices 5
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
- Lawrenceville, GA
- NPI 1750552469
-
- Optometrist
- Cleveland, GA
- NPI 1194946905
-
- Health Service Clinic/Center
- Decatur, GA
- NPI 1770002693
-
- Optometrist
- Stockbridge, GA
- NPI 1073730263
-
- Optometrist
- Decatur, GA
- NPI 1447391594
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746403200000",
"number": "1427286301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "725 WALTHER RD BLDG 100",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300468725",
"telephone_number": "770-513-3300",
"fax_number": "678-990-8252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "725 WALTHER RD BLDG 100",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300468725",
"telephone_number": "770-513-3300",
"fax_number": "678-990-8252"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MYERS MCCONKEY",
"first_name": "TYRA",
"middle_name": "M",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-06-30",
"last_updated": "2025-05-05",
"certification_date": "2025-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "GA",
"license": "OPT002531",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lawrenceville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2025; 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.