Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. James B Elledge, OD, MBA, FAAO

Individual provider Optometrist · NPI 1710993241

Dr. James B Elledge, OD, MBA, FAAO is an Optometry in San Antonio, Texas. Qualified in 2006, 20 years ago. Practices with Well-Edge Vision, a 2-clinician group. Licensed in Missouri and New York.

Years since qualifying
20
Licensed in
MO, NY
In the registry since
2006
Specialties on file
2
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.
MBA — Master of Business Administration
A graduate business degree.

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Practice location Address checks out

17134 Bulverde Rd Ste 107
San Antonio, TX 78247-2190
Phone: (210) 267-2686
Fax: (210) 267-2216
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence T03341 (MO)
Optometrist Taxonomy 152W00000X · Licence 006941 (NY)

Record details

NPI number1710993241
Entity typeIndividual (Type 1)
GenderMale
Credentials OD , MBA , FAAO
Sole proprietorNo
NPI enumeratedAugust 1, 2006
Last updated in NPPESMay 18, 2023
Certification dateMay 18, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Well-Edge Vision — 2 clinicians
Accepts Medicare assignment Not indicated

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