Teresa Elm

Primary specialty

OptometristTaxonomy code 152W00000X

License

2700-035 Issued in WI

Practice address

2811 S Oneida St
Green Bay, WI 54304-5748

Phone

(920) 496-9699

Fax

(920) 496-1540

NPI assigned

Oct 4, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Teresa Langen-Elm Professional name

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dr. Elm and Associates Inc.

  • Optometrist
  • Green Bay, WI
  • NPI 1902089428
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512604800000",
    "number": "1124113402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2811 S ONEIDA ST",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543045748",
            "telephone_number": "920-496-9699",
            "fax_number": "920-496-1540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2811 S ONEIDA ST",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543045748",
            "telephone_number": "920-496-9699",
            "fax_number": "920-496-1540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELM",
        "first_name": "TERESA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2017-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "2700-035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TERESA",
            "last_name": "LANGEN-ELM",
            "credential": "O.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Elite Foot & Ankle Clinic SC
• Briana Ellis, DPT
• Charles Lee Ellis, DDS, MD
• Stephanie Marie Ellman, ARNP
• James Leigh Elm, O.D.
• Tariq Elmadawy
• Unknown Elsa Kurian, DDS
• Muna Elsiddig, MD
• Embodied-Wellbeing Limited Liability Company
• Embodied-Welllbeing

• Optometrist in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Optometrist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.