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Contact Information

MACKENZIE LIBENGOOD
110 MALL CIRCLE
SUITE 2001
WALDORF, MD20602
 Phone: 301-705-8444
 Fax: 301-705-8448
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for MACKENZIE LIBENGOOD · (Female)

NPI Number 1730979261
Status Active
Credentials
Entity Individual
Enumeration date 05/08/2025
Last updated 08/14/2025 - About 10 months ago
Sole proprietor 1 No
Identifiers
  • MD License # TA3086
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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