Jimmy Elam, OD

ActiveIndividual ProviderOptometry
NPI issued: August 24, 2005

Quick Facts

NPI Number
1194718379
TypeIndividual
StatusActive
SpecialtyOptometry
Taxonomy152W00000X — Optometry
Phone
(573) 686-5866
StateMO

NPI Validation Status: Verified

Valid 10-digit NPI number (1194718379)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (August 24, 2005)
Data source: CMS NPPES

Provider Overview

JIMMY ELAM, OD is a Optometry provider based in Poplar Bluff, MO who has been registered with CMS since 2005. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1194718379
Provider TypeIndividual Provider
GenderMale
CredentialOD
StatusActive
Enumeration DateAugust 24, 2005

Practice Location

CityPoplar Bluff
StateMO
ZIP Code63901-2338
Phone(573) 686-5866

Specialties & Licenses

★ Primary
SpecialtyOptometry
Taxonomy Code152W00000X
License StateMO

Mailing Address

CityPoplar Bluff
StateMO
ZIP Code63901-2338
Phone(573) 686-5866
Same as practice location

How to Use This NPI

📋

For Insurance Billing

Use NPI 1194718379 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

🏥

For Credentialing

Reference NPI 1194718379for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1194718379 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Optometry

Specialists in Optometry provide expert clinical care within their specific domain, focusing on the diagnosis, treatment, and management of conditions relevant to their field of practice.

📊
95,009
Optometry Providers in the US

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People Also Ask

What is Jimmy Elam's NPI number?
Jimmy Elam's NPI number is 1194718379, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Jimmy Elam's NPI currently active?
Yes, Jimmy Elam's NPI status is Active as of the latest CMS NPPES database updates.
What does Jimmy Elam specialize in?
Jimmy Elam specializes in Optometry. The healthcare taxonomy code associated with this specialty is 152W00000X.
Where does Jimmy Elam practice?
Jimmy Elam practices in Poplar Bluff, MO 63901-2338.
When was Jimmy Elam's NPI issued?
Jimmy Elam's NPI was issued on August 24, 2005.
What is Jimmy Elam's provider type?
Jimmy Elam is registered as an Individual Provider under CMS NPI Type 1.