Organization · NPI-2

Daniel & Max, LLC

Eyewear Supplier (Equipment, not the service) · Lafayette, LA

NPI number1659863264
StatusActive
Last updated in NPPESAug 11, 2023

Details

NPI
1659863264
Entity type
Organization (NPI-2)
Legal business name
Daniel & Max, LLC
Organization subpart
No
Enumeration date
May 31, 2018
Certification date
Aug 11, 2023
Last updated
Aug 11, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
332H00000X Eyewear Supplier (Equipment, not the service)––Yes

Other names

  • Stanton Optical (Doing Business As)

Practice location

5540 Johnston St Ste 101
Lafayette, LA 70503-5138

Phone 337-314-9020 · Fax 561-828-8367

Mailing address

1615 S Congress Ave Ste 105
Delray 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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