Individual
DR. BARRY J. MCNAMARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
605 JASMINE TRL, PRATTVILLE, AL 36066-3661
(334) 365-2020
(334) 365-4845
Mailing address
605 JASMINE TRL, PRATTVILLE, AL 36066-3661
(334) 365-2020
(334) 365-4845
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S398TA100
AL
152WC0802X
Corneal and Contact Management Optometrist
S398TA100
AL
152WL0500X
Low Vision Rehabilitation Optometrist
S398TA100
AL
152WP0200X
Pediatric Optometrist
S398TA100
AL
152WS0006X
Sports Vision Optometrist
S398TA100
AL
152WX0102X
Occupational Vision Optometrist
S398TA100
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51058560
BLUE CROSS BLUE SHIELD
AL
05
—
529401860
—
AL
Enumeration date
02/08/2007
Last updated
11/02/2010
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