Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Daniel O. Elliott III, OD

Optometrist in South Bend, IN · enumerated 2005.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1083614267

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Registry record

Entity type Individual (Type 1)

Name Daniel O. Elliott III

Credential OD

Sex Male

Practice address South Bend, IN, 46615

Phone (574) 233-3617

Fax (574) 280-7355

Enumeration date Jul 28, 2005

Last updated in NPPES Dec 11, 2012

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

152W00000X Optometrist Eye and Vision Services Providers · License IN18001717B (IN) Primary

OD · Doctor of Optometry: A licensed optometrist providing primary vision care, eye exams, and corrective lenses. About the OD credential

Other identifiers

Identifier	Type	State	Issuer
100221940A	Medicaid	IN	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where does Daniel Elliott practice?

The practice location on file with NPPES is in South Bend, IN. Providers can have multiple locations; NPPES lists the primary practice address.

What is the NPI number for Daniel Elliott?

The National Provider Identifier (NPI) for Daniel Elliott is 1083614267, a Type 1 (individual) record in the CMS NPPES registry.

Other providers at this practice address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-12-11.