NPI 1053479147

James Leigh Elm, OD

Practitioner Optometrist Green Bay, WI

Practice location

Address: 2811 S Oneida St, Green Bay, WI 54304-5748
Phone: (920) 496-9699
Fax: (920) 496-1540

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 2363 (WI)

Other Optometrist providers in Wisconsin →

Registry record

NPI: 1053479147
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 Dec 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.