Jimmy Elam, OD
NPI 1194718379 · Optometrist · Poplar Bluff, MO
Enrolled with Medicare as Practitioner - Optometry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jimmy Elam, OD is a Optometrist provider in Poplar Bluff, MO (NPI 1194718379).
Provider details
- NPI number
- 1194718379
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- OD
- Sex
- Male
- Sole proprietor
- No
- License
- 2189 (MO)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-08-24
- Last updated
- 2011-12-13
Frequently asked questions
- What is Jimmy Elam's NPI number?
- Jimmy Elam's National Provider Identifier (NPI) is 1194718379, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jimmy Elam's specialty?
- Jimmy Elam is listed in the NPPES registry with a primary specialty of Optometrist (Eye and Vision Services Providers).
- Where is Jimmy Elam located?
- Jimmy Elam's practice location on file with NPPES is 2511 N Westwood Blvd, Poplar Bluff, MO 63901-2338.
- What is Jimmy Elam's phone number?
- The practice phone number listed in the NPPES registry for Jimmy Elam is (573) 686-5866.
- Does Jimmy Elam accept Medicare?
- Jimmy Elam is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jimmy Elam's NPI active?
- Yes — Jimmy Elam's NPI (1194718379) is active in the NPPES registry as of the last update on 2011-12-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.