Daniel & Max, LLC
Eyewear Supplier (Equipment, not the service) in Ridgeland, MS. Organization (NPI-2).
NPI number1396282992
StatusActive
Last updated in NPPESAug 11, 2023
Details
- NPI
- 1396282992
- Entity type
- Organization (NPI-2)
- Legal business name
- Daniel & Max, LLC
- Organization subpart
- No
- Enumeration date
- Jan 21, 2017
- Certification date
- Aug 11, 2023
- Last updated
- Aug 11, 2023
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
1210 E County Line RdRidgeland, MS 39157-1936
Phone 769-777-4176 · Fax 561-828-8367
Mailing address
1615 S Congress Ave Ste 105Delray Beach, FL 33445-6326
Phone 561-208-8464
Authorized official
Kirsten Pipher Cantrell
Manager Of Health Services
5612088464
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All 7 Eyewear Supplier providers in Ridgeland · All 1,643 providers in Ridgeland
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