Daniel Max & Marcandrea LLC
Eyewear Supplier (Equipment, not the service) in San Antonio, TX. Organization (NPI-2).
NPI number1578023974
StatusActive
Last updated in NPPESAug 16, 2023
Details
- NPI
- 1578023974
- Entity type
- Organization (NPI-2)
- Legal business name
- Daniel Max & Marcandrea LLC
- Organization subpart
- No
- Enumeration date
- Mar 21, 2019
- Certification date
- Aug 16, 2023
- Last updated
- Aug 16, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332H00000X | Eyewear Supplier (Equipment, not the service) | – | – | Yes |
Other names
- My Eyelab (Doing Business As)
Practice location
8539 Tx 151San Antonio, TX 78245
Phone 210-783-7760 · Fax 561-828-8367
Mailing address
1615 S Congress Ave Ste 105Delray Beach, FL 33445-6326
Phone 561-208-8464 · Fax 561-275-2030
Authorized official
Kirsten Pipher Cantrell
Manager Of Health Services
5612088464
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All 142 Eyewear Supplier providers in San Antonio · All 48,677 providers in San Antonio
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