Dr. Elm and Associates Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2363 Issued in WI

Legal business name

DR. ELM AND ASSOCIATES INC.

Practice address

2811 S Oneida St
Green Bay, WI 54304-5748

Phone

(920) 496-9699

Fax

(920) 496-1540

NPI assigned

Dec 6, 2007

Organization subpart

No

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

Authorized official

Name

Dr. James Leigh Elm, O.D.NPI 1053479147

Title

President/Optometrist

Phone

(920) 496-9699

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James Leigh Elm, O.D.

  • Optometrist
  • Green Bay, WI
  • NPI 1053479147
  Medicare reassignment Authorized official
• Teresa Elm

  • Optometrist
  • Green Bay, WI
  • NPI 1124113402
  Medicare reassignment NPD

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

{
    "created_epoch": "1196899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235347200000",
    "number": "1902089428",
    "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": {
        "organization_name": "DR. ELM AND ASSOCIATES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-06",
        "last_updated": "2009-02-23",
        "status": "A",
        "authorized_official_last_name": "ELM",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "PRESIDENT/OPTOMETRIST",
        "authorized_official_telephone_number": "920-496-9699",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WI",
            "license": "2363",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "2363",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dr Hallam Chiropractic LLC
• Dr Jill Davies LLC
• Dr John J Quinlan S.C.
• Dr Michael W Zoelle SC
• Dr. Andrea Appleton LTD
• Dr. Paula S. Crum, S.C.
• Kerin Beth Draak, APNP
• Jackson K Draeger, DC
• James V Drake, LCSW
• Theresa E Drake, RD

• 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 Feb 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.