Active NPI
Jennifer M McNamara, OD
- Optometrist
- Avon Lake, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT.5881-THER
- Practice address
- 32730 Walker Rd BLDG J
Avon Lake, OH 44012-4100 - Phone
- (440) 455-3080
- Fax
- (440) 653-9670
- NPI assigned
- Aug 12, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT.5881-THER | OH | Primary |
Addresses
Primary practice location
32730 Walker Rd BLDG J
Avon Lake, OH 44012-4100
Mailing address
PO Box 378
Sandusky, OH 44871-0378
Phone (419) 626-6161
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2259596 | Medicaid | OH | |
| H505710 | Other | OH | MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100104000217 | OH | Practitioner - Optometry | 2567503287 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Ohio State University - College of Optometry, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- David a Delprincipe OD IncNorth Coast Eye Care, LLCNorth Coast Eye Care Avon LLC
Practice addresses (Care Compare)
1541 Cooper Foster Park Rd
Amherst, OH 44001-1209
Phone (440) 282-2020
35888 Ctr Ridge Rd
North Ridgeville, OH 44039-3086
Phone (440) 327-2747
38530 Chester Rd
Suite 200
Avon, OH 44011-4048
Phone (440) 934-0055
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPT.5881-THER | OH | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Coast Eye Care, Avon LLC | Optometrist | Current | Accepting new patients |
| North Coast Eye Care, LLC | Optometrist | Current | Accepting new patients |
| David a Delprincipe OD Inc | Optometrist | Current | Accepting new patients |
| Avon Eye Design, Inc. | Optometrist | Current | Accepting new patients |
| Dr John J Novak and Associates Inc | Optometrist | Past | Accepting new patients |
Locations
1541 Cooper Foster Park Rd
Amherst, OH 44001
Phone (440) 282-1047
36775 Detroit Rd
Avon, OH 44011
Phone (440) 934-1144
38530 Chester Rd
Ste 200
Avon, OH 44011
Phone 4403333097313
36840 Detroit Rd
Avon, OH 44011
Phone (440) 934-1144
35888 Center Ridge Rd
North Ridgeville, OH 44039
Phone (440) 327-2747
7079 Avon Belden Rd
North Ridgeville, OH 44039
Phone (440) 327-2020
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Optometrist
- Avon, OH
- NPI 1477993400
-
- Optometrist
- Avon, OH
- NPI 1619271657
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537488000000",
"number": "1386876191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 378",
"city": "SANDUSKY",
"state": "OH",
"postal_code": "448710378",
"telephone_number": "419-626-6161",
"fax_number": "419-609-1123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "32730 WALKER RD BLDG J",
"city": "AVON LAKE",
"state": "OH",
"postal_code": "440124100",
"telephone_number": "440-455-3080",
"fax_number": "440-653-9670"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCNAMARA",
"first_name": "JENNIFER",
"middle_name": "M",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-08-12",
"last_updated": "2018-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OH",
"license": "OPT.5881-THER",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2259596",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "H505710",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Avon Lake, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.