DANIEL O. ELLIOTT III


Address: 220 N Ironwood Dr, South Bend, IN 46615-2518
Phone: 5742333617

DANIEL O. ELLIOTT III (NPI# 1083614267) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1083614267
Entity Type Individual
Full Name DANIEL O. ELLIOTT III
Credential OD
Practice Address 220 N Ironwood Dr
South Bend
IN 46615-2518
Practice Telephone 5742333617
Practice Fax Number 5742807355
Mailing Telephone 5742333617
Mailing Fax Number 5742807355
Enumeration Date 2005-07-28
Last Update Date 2012-12-11
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 152W00000X Optometrist IN18001717B IN Eye and Vision Services Providers

Other Provider Identifier

State Issuer Identifier Type Code
IN 100221940A 05

Other Providers DANIEL ELLIOTT

NPI Name Taxonomy Address Enumeration
1306017918 Daniel C. Elliott Physician Assistant 210 E 10th St, New York, NY 10003-7707 2008-03-23
1023004033 Daniel R. Elliott Physician Assistant 29738 Rancho California Rd, Suite B, Temecula, CA 92591-5322 2005-09-26
1700394301 Daniel Jacob Elliott Student in an Organized Health Care Education/Training Program 25 Michigan St Ne, Grand Rapids, MI 49503-2515 2018-01-17
1457763161 Daniel Wilson Elliott Emergency Medicine 1701 N Senate Blvd, Room Ag-012, Indianapolis, IN 46202-1239 2014-05-29
1497000558 Daniel Elliott Physical Therapist 7105 S Springs Dr, Franklin, TN 37067-1710 2012-07-16
1972865426 Daniel William Elliott Family Medicine 409 W Adams Ave, Temple, TX 76501-4211 2012-06-11
1891061792 Daniel Elliott Rehabilitation Practitioner 2560 Business Pkwy, Minden, NV 89423-8985 2012-03-26
1316180433 Daniel Byron Elliott Physical Therapist 7 Carnegie Plz, Cherry Hill, NJ 08003-1000 2009-04-20
1730386301 Daniel Prentice Elliott Anesthesiology 1120 15th St, Augusta, GA 30912-0004 2007-06-28
1467541524 Daniel J Elliott Internal Medicine 200 Hygeia Dr, Newark, DE 19713-2049 2006-10-12

Office Location

Street Address 220 N IRONWOOD DR
City SOUTH BEND
State IN
Zip Code 46615-2518

Providers in the same location

NPI Name Taxonomy Address Enumeration
1780980516 Midwest Eye Consultants, PC Optometrist 220 N Ironwood Dr, South Bend, IN 46615-2518 2011-01-26
1912132804 Oasb Inc Optometrist 220 N Ironwood Dr, South Bend, IN 46615-2518 2009-05-20
1144486168 Brian Andrew Faust Optometrist 220 N Ironwood Dr, South Bend, IN 46615 2008-07-29
1013187996 Daniel O. Elliott IIi Od Eyewear Supplier (Equipment, not the service) 220 N Ironwood Dr, South Bend, IN 46615-2518 2008-03-06
1235359480 Optometric Associates of South Bend Optometrist 220 N Ironwood Dr, South Bend, IN 46615-2518 2007-04-30
1487734471 Elliott and Morlan LLC Optometrist 220 N Ironwood Dr, South Bend, IN 46615-2518 2006-10-16
1790787414 Thomas D Morlan Optometrist 220 N Ironwood Dr, South Bend, IN 46615 2005-08-12
1770585457 James L Short Optometrist 220 N Ironwood Dr, South Bend, IN 46615-2518 2005-08-12
1306848031 Richard E Stuller Optometrist 220 N Ironwood Dr, South Bend, IN 46615-2518 2005-08-12

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679954804 Healthlinc, Inc. Clinic/Center 1002 S Esther St, South Bend, IN 46615 2015-06-12
1861897688 Michelle Jean Streb Registered Nurse 1960 Northside Boulevard, South Bend, IN 46615 2014-10-23
1275848962 Charles Mikel Craig Optometrist 220 N. Ironwood Dr., South Bend, IN 46615 2010-08-18
1710219613 Debra Vasquez Occupational Therapy Assistant 1950 Ridgedaleroad, South Bend, IN 46615 2010-02-03
1114259132 Christopher Joseph Smith Physical Therapist 1005 Hickory Rd, South Bend, IN 46615 2010-02-01
1295064525 Starlight Care Facilities, Inc Skilled Nursing Facility 915 So. 27th Street, South Bend, IN 46615 2009-12-16
1699002642 Ann G Pryor Contractor 1516 E. Wayne St., South Bend, IN 46615 2009-11-12
1891917449 Logan Community Resources, Inc. Community/Behavioral Health 2505 E. Jefferson Blvd, South Bend, IN 46615 2007-05-03
1487712683 Julie Gaydos Plagens Dentist 604 South Eddy St, South Bend, IN 46615 2006-12-04
1629163084 Edward F Klodzinski Counselor 3603 E. Jefferson Blvd., South Bend, IN 46615 2006-10-03
Find all providers in zip 46615

Taxonomy Information

Taxonomy Code 152W00000X
Grouping Eye and Vision Services Providers
Classification Optometrist

Taxonomy Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1104312552 Myeyedr Optometry of Indiana, LLC Optometrist 315 W Ireland Rd # 103, South Bend, IN 46614-3802 2018-07-09
1831649706 Ossip Optometry, PC Optometrist 315 W Ireland Rd, Unit 103, South Bend, IN 46614-3802 2016-10-04
1275848962 Charles Mikel Craig Optometrist 220 N. Ironwood Dr., South Bend, IN 46615 2010-08-18
1902944325 Family Eye Care of South Bend Optometrist 220 North Ironwood, South Bend, IN 46615-1623 2007-02-01
1700971686 Professional Vision Inc Optometrist 4630 W Western Ave, South Bend, IN 46619-2304 2006-10-04
1972520906 Ossip Optometry, P.c Optometrist 4121 S Michigan St, South Bend, IN 46614-2545 2006-07-16
1023069283 Christopher J. Wolf, Od, Inc Optometrist 4123 S Michigan St, South Bend, IN 46614-2545 2006-05-13
1740241975 Bob H Graf Optometrist 2004 Edison Rd Ste A, South Bend, IN 46617-1712 2006-03-29
1740258441 Ronald Lee Snyder Optometrist 17615 State Rd 23, South Bend, IN 46635 2006-03-09
1306813464 Lawrence A Shinneman Optometrist 4121 S. Michigan Street, South Bend, IN 46614-2545 2006-03-07
Find all providers in SOUTH BEND

Competitor

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City SOUTH BEND
Zip Code 46615

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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