Individual provider Active NPI

Jennifer M McNamara, OD

  • Optometrist
  • Avon Lake, OH
National Provider Identifier
1386876191
Registry record updated Sep 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT.5881-THER Issued in OH
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

Updated by the provider on Sep 21, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2259596MedicaidOH
H505710OtherOHMEDICARE

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 Inc 3 clinicians
North Coast Eye Care, LLC 2 clinicians
North Coast Eye Care Avon LLC 3 clinicians

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

LicenseStateTypeSpecialty
OPT.5881-THEROHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
North Coast Eye Care, Avon LLC Optometrist CurrentSince Apr 22, 2024 Accepting new patients
North Coast Eye Care, LLC Optometrist CurrentSince Apr 22, 2024 Accepting new patients
David a Delprincipe OD Inc Optometrist CurrentSince Apr 22, 2024 Accepting new patients
Avon Eye Design, Inc. Optometrist CurrentSince Aug 2, 2022 Accepting new patients
Dr John J Novak and Associates Inc Optometrist PastSince Aug 2, 2022 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.

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

Verify at the official NPI Registry.