MCCONKEY EYE CARE LLC
NPI 1902596224
Optometrist in Baltimore, MD

Active since May 10, 2023CLIA Certified · 2 labs
4425 FITCH AVE STE 120, BALTIMORE, MD 21236(410) 459-5320 Get Directions Write a Review

NPPES record last updated: May 23, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mcconkey Eye Care Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MCCONKEY EYE CARE LLC (NPI 1902596224) is a healthcare organization registered as an optometrist in Baltimore, Maryland and active in the NPI registry since May 2023. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Jarrettsville, and lists Whitney Mcconkey, Owner, as its authorized official.

NPPES Registry Identity

NPI1902596224
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameMCCONKEY EYE CARE LLC
Location Address4425 FITCH AVE STE 120Baltimore, MD 21236-3927
Mailing Address1420 Saratoga DrBel Air, MD 21014-5516 · (410) 459-5320
Organization SubpartNo
Authorized OfficialWhitney McconkeyOwner · (410) 459-5320
Enumeration DateMay 10, 2023
Last NPPES UpdateMay 23, 2024
NPPES CertifiedMay 23, 2024
NPI 1902596224 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

4425 FITCH AVE STE 120, Baltimore, MD 21236

Secondary Practice Location 1

Location 11128 Baldwin Mill RdJarrettsville, MD 21084-1914 · Phone (443) 453-5444 · Fax (443) 453-5114

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 21D2314161

Mcconkey Eye Care LLC · Jarrettsville, MD
Active · expires Nov 13, 2026
CLIA Number21D2314161
Laboratory TypePhysician Office
Certificate Effective DateNovember 14, 2024
Certificate Expiration DateNovember 13, 2026
Laboratory DirectorWhitney E. Mcconkey
Laboratory Phone(443) 453-5444
Laboratory LocationMcconkey Eye Care LLC1128 Baldwin Mill Rd, Jarrettsville, MD 21084
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 21D2286606

Mcconkey Eye Care LLC · Nottingham, MD
Active · expires Jul 31, 2027
CLIA Number21D2286606
Laboratory TypePhysician Office
Certificate Effective DateAugust 1, 2025
Certificate Expiration DateJuly 31, 2027
Laboratory DirectorWhitney E. Mcconkey
Laboratory Phone(443) 453-5444
Laboratory LocationMcconkey Eye Care LLC4425 Fitch Ave #120, Nottingham, MD 21236
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Optometrist
4425 FITCH AVE STE 120
BALTIMORE, MD 21236

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1902596224, enumerated as an "organization" on May 10, 2023.

The provider is located at 4425 FITCH AVE STE 120 BALTIMORE, MD 21236 and the phone number is (410) 459-5320.

Optometrist with taxonomy code 152W00000X.