Organization
BARRY J MCNAMARA OD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELIZABETH PRICE (FINANCIAL COORDINATOR)
(334) 365-2020
Entity
Organization
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
152WV0400X
Vision Therapy Optometrist
S398TA100
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51058560
BCBS
AL
05
—
529401860
—
AL
Enumeration date
04/09/2008
Last updated
11/02/2010
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