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NPI Code Detail

MEDICARE: BARRY J MCNAMARA OD PC

MEDICARE: BARRY J MCNAMARA OD PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152WC0802XCorneal and Contact Management OptometristS398TA100AL
2152WL0500XLow Vision Rehabilitation OptometristS398TA100AL
3152WP0200XPediatric OptometristS398TA100AL
4152WS0006XSports Vision OptometristS398TA100AL
5152WV0400XVision Therapy OptometristS398TA100AL
6152W00000XOptometristS398TA100AL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
151058560OTHERALBCBS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1457524597
Entity Type Code : Organization
Provider Name (Legal Business Name) : BARRY J MCNAMARA OD PC
Provider Business Mailing Address
First Line : 605 JASMINE TRL
Second Line :
City : PRATTVILLE
State : AL
Zip : 36066-3661
Country : US
Telephone Number : 334-365-2020
Fax Number : 334-365-4845
Provider Business Practice Location Address
First Line : 605 JASMINE TRL
Second Line :
City : PRATTVILLE
State : AL
Zip : 36066-3661
Country : US
Telephone Number : 334-365-2020
Fax Number : 334-365-4845
Authorized Official
Title or Position : FINANCIAL COORDINATOR
Name : MRS. ELIZABETH PRICE
Credential :
Telephone Number : 334-365-2020
Provider Enumeration Date : 04/09/2008
Last Update Date : 11/02/2010

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