Organization · NPI-2
Daniel & Max, LLC
Eyewear Supplier (Equipment, not the service) · Indianapolis, IN
NPI number1013749902
StatusActive
Last updated in NPPESAug 19, 2024
Details
- NPI
- 1013749902
- Entity type
- Organization (NPI-2)
- Legal business name
- Daniel & Max, LLC
- Organization subpart
- No
- Enumeration date
- Aug 19, 2024
- Certification date
- Aug 19, 2024
- Last updated
- Aug 19, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332H00000X | Eyewear Supplier (Equipment, not the service) | – | – | Yes |
Other names
- Stanton Optical (Doing Business As)
Practice location
9235 Michigan Rd Ste DIndianapolis, IN 46268-1277
Phone 877-350-3399
Mailing address
1615 S Congress Ave Ste 105Delray Beach, FL 33445-6326
Authorized official
Brad Brocwell
Vp Of Clinical Operations
5612448063
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