Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1730979261 Individual Practitioner Female Practitioner

Mackenzie Libengood

Optometrist • Waldorf, MD

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Mackenzie Libengood is a registered healthcare professional specializing in Optometrist in Waldorf, MD. Official NPI practice address is registered at 110 MALL CIRCLE.

Practice Location & Contact Primary Location

Practice Address

110 Mall Circle
Suite 2001

Waldorf, MD 20602

Telephone 3017058444
Fax 3017058448

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Waldorf, MD

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.0 Yrs
State Avg: 23.3 Yrs
Regional Practice Density
27 Specialists

Practicing in Waldorf, MD (952 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-08-12
Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License MD TA3086

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
NPI 1023318227

Doctor of Optometry

NPI 1114650017

Doctor of Optometry

NPI 1265529051

Doctor of Optometry

NPI 1346996931

Doctor of Optometry

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Business Mailing Address August 14, 2025

Registered at 110 MALL CIR, SUITE 2001, WALDORF, MD 20603 (Tel: 3017058450)

NPI Profile Active May 08, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location May 08, 2025

Registered at 110 MALL CIRCLE, SUITE 2001, WALDORF, MD 20602 (Tel: 3017058444)

📍
Updated Business Mailing Address May 08, 2025

Registered at 11723 SUNNINGDALE PL, WALDORF, MD 206023267 (Tel: 7246408829)

👤
Provider Name / Credentials Updated May 08, 2025

Recorded as MACKENZIE LIBENGOOD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 08, 2025

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration May 08, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1730979261
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 08, 2025
Last Update: August 14, 2025
Sole Proprietor: No

Mailing Address

110 Mall Cir, Suite 2001

Waldorf, MD 20603

Phone: 3017058450

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.