Individual
JIMMY H ELAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
2511 N WESTWOOD BLVD, POPLAR BLUFF, MO 63901-2338
(573) 686-5866
(618) 997-6250
Mailing address
PO BOX 1178, MARION, IL 62959-7678
(618) 993-5686
(618) 997-6250
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2189
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1194718379
—
MO
Enumeration date
08/24/2005
Last updated
12/13/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us