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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JENNIFER ELAM, O.D.

Active Sole Proprietor

DR. JENNIFER ELAM, O.D. is a Optometrist healthcare provider located in PORT HURON, Michigan. NPI 1356443261 is currently active in the NPPES registry. Verify at CMS.

Optometrist · PORT HURON, MI

Registration Details

NPI Number
1356443261
Provider Type
Individual
Gender
Female
NPI Issued
Sep 1, 2006 (19.947279337201 yrs)
Last Updated
Jun 21, 2013
Licenses
1607DT (KY)
1607DT (KY)
1607DT (KY)
Sole Proprietor
Yes

Practice Information

Address
3560 PINE GROVE AVE
STE 366
PORT HURON, MI, 480601994
Browse MI providers · Browse ZIP 48060
Phone
5027591123
Primary Specialty
Optometrist
152W00000X

Other Optometrist Providers in PORT HURON, MI

Name Credential NPI
DR. JANET T LOMASNEY OD 1417920596
DR. BRET RICHARD WILLIAMS O.D. 1730704172
ANDREA K PLEWA 1871257055
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.