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Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Jimmy H Elam, OD

Optometrist in Poplar Bluff, MO · enumerated 2005 · practices at Marion Eye Centers, Ltd..

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1194718379

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Registry record

Entity type Individual (Type 1)
Name Jimmy H Elam
Credential OD
Sex Male
Practice address 2511 N Westwood Blvd, Poplar Bluff, MO, 63901
Phone (573) 686-5866
Fax (618) 997-6250
Enumeration date Aug 24, 2005
Last updated in NPPES Dec 13, 2011

Taxonomy & licenses

152W00000X Optometrist Eye and Vision Services Providers · License 2189 (MO) Primary
OD · Doctor of Optometry: A licensed optometrist providing primary vision care, eye exams, and corrective lenses. About the OD credential

Other identifiers

Identifier Type State Issuer
1194718379 Medicaid MO -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Is NPI 1194718379 active?
Yes, as of the latest NPPES snapshot, NPI 1194718379 is active (record last updated 2011-12-13).
How do I verify Jimmy Elam's NPI record?
Cross-check NPI 1194718379 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-12-13.