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: October 18, 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

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mcconkey Eye Care Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Mcconkey Eye Care LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Optometry
NPI 1275990145
4425 FITCH AVE STE 120
Baltimore, MD 21236
(410) 459-5320
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mcconkey Eye Care LLC's NPI number?

The NPI number for Mcconkey Eye Care LLC is 1902596224. It was assigned to this organization in the NPPES registry on May 10, 2023.

Where is Mcconkey Eye Care LLC located?

Mcconkey Eye Care LLC is located at 4425 Fitch Ave Ste 120, Baltimore, MD 21236. The listed phone number is (410) 459-5320.

What is Mcconkey Eye Care LLC's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Mcconkey Eye Care LLC enrolled in Medicare?

Yes. Mcconkey Eye Care LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mcconkey Eye Care LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Mcconkey Eye Care LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Mcconkey Eye Care LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Mcconkey Eye Care LLC accept?

Health plans from BlueCross BlueShield of Tennessee list Mcconkey Eye Care LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mcconkey Eye Care LLC was last updated on May 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.