Individual provider · Type 1 NPI

Mackenzie Libengood

Optometrist · Waldorf, MD

NPI number 1730979261 Active

Practice location

110 Mall Circle, Suite 2001
Waldorf, MD 20602

Fax (301) 705-8448

Mailing address

110 Mall Cir, Suite 2001
Waldorf, MD 20603

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Optometrist Primary 152W00000XTA3086 (MD)

Optometrist: 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 e…

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About NPI 1730979261

Mackenzie Libengood's National Provider Identifier is 1730979261, issued on May 8, 2025. The primary taxonomy on file is Optometrist (152W00000X), and the practice location is in Waldorf, MD. The record was last updated on Aug 14, 2025.