NPI 1013187996

Daniel O. Elliott III OD

Organisation Eyewear Supplier South Bend, IN

Practice location

Address: 220 N Ironwood Dr, South Bend, IN 46615-2518
Phone: (574) 233-3617
Fax: (574) 280-7355

Authorised official

Name: Daniel O Elliott
Title: Owner
Phone: (574) 233-3617

Registered specialties

Eyewear Supplier Primary

Suppliers Taxonomy 332H00000X

Other Eyewear Supplier providers in Indiana →

Registry record

NPI: 1013187996
Entity type: Organization
NPI issued: 6 Mar 2008
Record last updated: 21 Jul 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.