Active NPI
McConkey Eye Care LLC
- Optometrist
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- MCCONKEY EYE CARE LLC
- Practice address
- 4425 Fitch Ave Ste 120
Baltimore, MD 21236-3927 - Phone
- (410) 459-5320
- NPI assigned
- May 10, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Whitney McConkey, OD
- Title
- Owner
- Phone
- (410) 459-5320
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 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
Other practice location 1
1128 Baldwin Mill Rd
Jarrettsville, MD 21084-1914
Phone (443) 453-5444
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 2
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 21D2286606 | McConkey Eye Care LLC | Certificate of waiver | Jul 31, 2027 |
| 21D2314161 | McConkey Eye Care LLC | Certificate of waiver | Nov 13, 2026 |
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| McConkey Eye Care LLC | Ocular Prostheses | Does not accept assignment |
National Provider Directory
National Provider DirectoryLocations
1128 Baldwin Mill Rd
Jarrettsville, MD 21084
Phone (410) 692-5591
4425 Fitch Ave
Ste 120
Nottingham, MD 21236
Phone (410) 459-5320
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Baltimore, MD
- NPI 1275990145
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683676800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1716422400000",
"number": "1902596224",
"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": [
{
"address_1": "1128 Baldwin Mill Rd",
"address_purpose": "LOCATION",
"city": "Jarrettsville",
"state": "MD",
"postal_code": "210841914",
"country_code": "US",
"telephone_number": "443-453-5444",
"fax_number": "443-453-5114",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "MCCONKEY EYE CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-05-10",
"last_updated": "2024-05-23",
"certification_date": "2024-05-23",
"status": "A",
"authorized_official_last_name": "MCCONKEY",
"authorized_official_first_name": "WHITNEY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "410-459-5320",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"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 May 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.