Organization Active NPI

Barry J McNamara OD PC

  • Optometrist
  • Prattville, AL
National Provider Identifier
1457524597
Registry record updated Nov 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S398TA100 Issued in AL
Legal business name
BARRY J MCNAMARA OD PC
Practice address
605 Jasmine TRL
Prattville, AL 36066-3661
Phone
(334) 365-2020
Fax
(334) 365-4845
NPI assigned
Apr 9, 2008
Last updated
Nov 2, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2010

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

Authorized official

Name
Mrs. Elizabeth Price
Title
Financial Coordinator
Phone
(334) 365-2020

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
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
Vision Therapy Optometrist 152WV0400X 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

IdentifierTypeStateIssuer
51058560OtherALBCBS
529401860MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080612000033 AL Part B Supplier - Clinic/Group Practice 5496826877 Receives reassigned benefits from 2 practitioners
Practice locations: Prattville, AL

National Provider Directory

National Provider Directory

Locations

605 Jasmine Trl
Prattville, AL 36066
Phone (334) 365-2020

943 E Main St
Prattville, AL 36066
Phone (334) 365-2020

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1207699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288656000000",
    "number": "1457524597",
    "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": {
        "organization_name": "BARRY J MCNAMARA OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-09",
        "last_updated": "2010-11-02",
        "status": "A",
        "authorized_official_last_name": "PRICE",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "FINANCIAL COORDINATOR",
        "authorized_official_telephone_number": "334-365-2020",
        "authorized_official_name_prefix": "Mrs."
    },
    "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": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "AL",
            "license": "S398TA100",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "51058560",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529401860",
            "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.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.