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Jimmy H. Elam, OD

NPI 1194718379ActiveIndividual· Optometrist· Poplar Bluff, MO

Optometrist (OD) in Poplar Bluff, Missouri, licensed in MO, with an NPI issued in August 2005. Enrolled in Medicare as practitioner - optometry.

Overview

NPI1194718379
StatusActive
Entity typeIndividual
CredentialOD
Sole proprietorNo
NPI issuedAug 24, 2005
Last updated in NPPESDec 13, 2011

Specialties and licenses

TaxonomyCodeLicenseState
Optometrist Primary152W00000X2189MO

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Optometry (TN)

Medicare sources and data years

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other optometrists in Poplar Bluff

All 25 optometrists in Poplar Bluff · All optometrists in Missouri