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

Jeffna Elavumkal, OD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1699560169

Jeffna Elavumkal, OD is an Optometry in Kenosha, Wisconsin. Graduated from Southern College of Optometry in 2025, 1 year ago. Practices with Eye Centers of Racine and Kenosha Ltd, a 6-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
1
Trained at
Southern College of Optometry
Licensed in
WI
In the registry since
2025
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.

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Practice location Address checks out

9916 75th St Ste 101
Kenosha, WI 53142-7583
Phone: (262) 658-1937
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 4071-35 (WI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1699560169
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedApril 14, 2025
Last updated in NPPESJuly 22, 2025
Certification dateJuly 22, 2025

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolSOUTHERN COLLEGE OF OPTOMETRY
Graduated 2025 (1 years in practice)
Group practice Eye Centers Of Racine And Kenosha Ltd — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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