Organization
DR. ELM AND ASSOCIATES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES LEIGH ELM O.D. (PRESIDENT/OPTOMETRIST)
(920) 496-9699
Entity
Organization
Contact information
Practice address
2811 S ONEIDA ST, GREEN BAY, WI 54304-5748
(920) 496-9699
(920) 496-1540
Mailing address
2811 S ONEIDA ST, GREEN BAY, WI 54304-5748
(920) 496-9699
(920) 496-1540
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2363
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2363
STATE LICENSE
WI
Enumeration date
12/06/2007
Last updated
02/23/2009
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