National Provider Identifier Database

JENNIFER ELAM, OD – NPI #1356443261
Optometrist

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye.


Contact Information

JENNIFER ELAM, OD
3560 PINE GROVE AVE
STE 366
PORT HURON, MI48060-1994
Phone: 502-759-1123
Fax:
Website:
Specialty Taxonomy Code
* Optometrist 152W00000X
Corneal and Contact Management 152WC0802X
Low Vision Rehabilitation 152WL0500X

* Indicates primary specialty

NPI Profile & details for JENNIFER ELAM

NPI Number 1356443261
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 09/01/2006
Last updated 06/21/2013 - About 13 years ago
Sole proprietor1 Yes
Identifiers
  • KY License #: 1607DT
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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