Stephen Michael McNamara, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

046.011124 Issued in IL

Practice address

1750 29TH St Unit 1046
Boulder, CO 80301-1027

Phone

(303) 565-7019

NPI assigned

Jun 22, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Eyesite-Illinois Valley, L.L.C.

  • Optometrist
  • Ottawa, IL
  • NPI 1245371509
  NPD (past)

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

{
    "created_epoch": "1498089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622764800000",
    "number": "1629598438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 29TH ST UNIT 1046",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803011027",
            "telephone_number": "303-565-7019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 29TH ST UNIT 1046",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803011027",
            "telephone_number": "303-565-7019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNAMARA",
        "first_name": "STEPHEN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-22",
        "last_updated": "2021-06-04",
        "certification_date": "2021-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046.011124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James McMillan
• Rachel Hartley McMullen, LCSW
• Rhonda L McNally, RN
• Ann Christine McNamara, PT
• Jeremiah E McNamara, M.D.
• Simone Mann McNamer
• Jennifer McNaughton, LCSW
• Jill McNaul, M.D.
• John R McNeil, M.D.
• Megan Pauly McNeil, LPC

• Optometrist in Boulder, CO
• Providers in Boulder, CO by specialty
• Optometrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.