Daniel O. Elliott Iii Od

LBN: Daniel O. Elliott Iii Od
Daniel O. Elliott Iii Od is an health care organization with primary practice located at 220 N Ironwood Dr , South Bend IN 46615-2518. The organization recently has only one registered license in Suppliers / Eyewear Supplier (Equipment, not the service), which is considered as the primary health care specialty. Daniel O. Elliott Iii Od can be contacted via phone (574) 233-3617, or through Elliott, Daniel O via phone (574) 233-3617.

Contact Information

Primary practice address
220 N Ironwood Dr South Bend IN 46615-2518
Phone: (574) 233-3617
Fax: (574) 280-7355
Website:
Map and Directions
Authorized official contact:
Name: Elliott, Daniel O Doctor of Optometry (OD)
Phone: (574) 233-3617

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Eyewear Supplier (Equipment, not the service) 332H00000X Indiana

Profile Details

NPI number 1013187996
LBN Legal business name Daniel O. Elliott Iii Od
DBA Doing business as
Authorized official Elliott, Daniel O Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 6th, 2008
Last updated Jul 21st, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013187996 NPPES
Indiana MEDICAID 100221940A

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