Individual
DR. JEREMY ALLEN ELMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
735 WHITFIELD DR, COLUMBUS, IN 47201-2611
(812) 375-9439
Mailing address
1352 ECHO BEND ST, GREENWOOD, IN 46142-1119
(317) 908-8548
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18003454A
IN
Other
Enumeration date
06/29/2007
Last updated
07/08/2007
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