Daniel O. Elliott III, OD

NPI #1083614267 in South Bend, Indiana

Provider Information

NPI Number: 1083614267
Entity Type: Individual
Name: Daniel O. Elliott III, OD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Jul 28, 2005
Last Updated: Dec 11, 2012

Practice Location

Address: 220 N IRONWOOD DR
City: South Bend
State: Indiana
ZIP Code: 46615-2518
Phone: (574) 233-3617

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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