# SOUTH BEND OPTOMETRICS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629360151
- **Authorized official:** DR. YAIR S ELIAS O.D. (OPTOMETRIST)
- **Authorized official phone:** (574) 386-2738

## Contact information

- **Practice address:** 2933 CAROLINE ST, SOUTH BEND, IN 46614-1545
- **Practice address phone:** (574) 386-2738
- **Mailing address:** 2933 CAROLINE ST, SOUTH BEND, IN 46614-1545
- **Mailing address phone:** (574) 386-2738

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152WL0500X | Low Vision Rehabilitation Optometrist | 18003629A | IN | Yes |

## Other

- **Enumeration date:** 05/02/2011
- **Last updated:** 05/02/2011
