Daniel O. Elliott III OD

NPI 1083614267 - Optometrist - 152W00000X

NPI Details
NPI 1083614267
Gender Male
Enumeration Date 07/28/2005
Last Updated 12/11/2012
Entity Type Individual
Active Over 11 years ago
Practice Location
220 N IRONWOOD DR
SOUTH BEND IN, 46615-2518, US
Phone (574) 233-3617
Fax (574) 280-7355
Business Location
220 N IRONWOOD DR
SOUTH BEND IN, 46615-2518, US
Phone (574) 233-3617
Fax (574) 280-7355
Toxanomy
Taxonomy Code 152W00000X
License State Indiana
License Number IN18001717B
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According to our database, Daniel O. Elliott III OD NPI is 1083614267, taxonomy code is 152W00000X and license number is IN18001717B, license state is located at Indiana. Daniel O. Elliott III OD physically located at 220 N Ironwood Dr, South Bend IN, 46615-2518. NPI Number Daniel O. Elliott III OD has the Individual type.

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1083614267 NPI number is provided on an as is basis without warranty of any kind. 1083614267 is maintained by the National Plan & Provider Enumeration System. The contents of Daniel O. Elliott III OD are for informational purposes only.