Organization · Type 2 NPI

Daniel O. Elliott III Od

Eyewear Supplier · South Bend, IN

NPI number 1013187996 Active

Practice location

220 N Ironwood Dr
South Bend, IN 46615-2518

Call (574) 233-3617 Map

Fax (574) 280-7355

Specialties and licenses

TaxonomyCodeLicense
Eyewear Supplier Primary 332H00000XNone listed

Eyewear Supplier: An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

8 other providers at this address

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About NPI 1013187996

Daniel O. Elliott III Od's National Provider Identifier is 1013187996, issued on Mar 6, 2008. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in South Bend, IN. The record was last updated on Jul 21, 2022.