Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152WC0802X | Optomitrist - Corneal and Contact Lenses | OEG001416 | PA |
N | 152WC0802X | Optomitrist - Corneal and Contact Lenses | TOO6072-1 | NY |
N | 156FX1700X | Ocularist |
NPI | 1730247909 |
---|---|
Provider Name | Dr. Tara M Mcnamara |
First Address | Middletown, PA 17057-3565 |
Second Address | Middletown, PA 17057-3565 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/12/2006 |
Last Update Date | 15/07/2013 |