Active NPI
Barry J. McNamara, O.D.
- Optometrist
- Prattville, AL
National Provider Identifier
1295875078
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- S398TA100
- Practice address
- 605 Jasmine TRL
Prattville, AL 36066-3661 - Phone
- (334) 365-2020
- Fax
- (334) 365-4845
- NPI assigned
- Feb 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | S398TA100 | AL | Primary |
| Corneal and Contact Management Optometrist | 152WC0802X | S398TA100 | AL | |
| Low Vision Rehabilitation Optometrist | 152WL0500X | S398TA100 | AL | |
| Pediatric Optometrist | 152WP0200X | S398TA100 | AL | |
| Sports Vision Optometrist | 152WS0006X | S398TA100 | AL | |
| Occupational Vision Optometrist | 152WX0102X | S398TA100 | AL |
Addresses
Primary practice location
605 Jasmine TRL
Prattville, AL 36066-3661
Mailing address
605 Jasmine TRL
Prattville, AL 36066-3661
Phone (334) 365-2020
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 529401860 | Medicaid | AL | |
| 51058560 | Other | AL | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S398TA100 | AL | MD | Pediatric Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288656000000",
"number": "1295875078",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "605 JASMINE TRL",
"city": "PRATTVILLE",
"state": "AL",
"postal_code": "360663661",
"telephone_number": "334-365-2020",
"fax_number": "334-365-4845"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "605 JASMINE TRL",
"city": "PRATTVILLE",
"state": "AL",
"postal_code": "360663661",
"telephone_number": "334-365-2020",
"fax_number": "334-365-4845"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCNAMARA",
"first_name": "BARRY",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-08",
"last_updated": "2010-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AL",
"license": "S398TA100",
"primary": true
},
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "AL",
"license": "S398TA100",
"primary": false
},
{
"code": "152WL0500X",
"taxonomy_group": "",
"desc": "Optometrist, Low Vision Rehabilitation",
"state": "AL",
"license": "S398TA100",
"primary": false
},
{
"code": "152WP0200X",
"taxonomy_group": "",
"desc": "Optometrist, Pediatrics",
"state": "AL",
"license": "S398TA100",
"primary": false
},
{
"code": "152WS0006X",
"taxonomy_group": "",
"desc": "Optometrist, Sports Vision",
"state": "AL",
"license": "S398TA100",
"primary": false
},
{
"code": "152WX0102X",
"taxonomy_group": "",
"desc": "Optometrist, Occupational Vision",
"state": "AL",
"license": "S398TA100",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "529401860",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "51058560",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Prattville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.