Individual
JENNIFER M MCNAMARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
32730 WALKER RD BLDG J, AVON LAKE, OH 44012-4100
(440) 455-3080
(440) 653-9670
Mailing address
PO BOX 378, SANDUSKY, OH 44871-0378
(419) 626-6161
(419) 609-1123
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT.5881-THER
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2259596
—
OH
01
—
H505710
MEDICARE
OH
Enumeration date
08/12/2009
Last updated
09/21/2018
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