Daniel Max & Marcandrea, LLC
Eyewear Supplier (Equipment, not the service) in Winston Salem, NC. Organization (NPI-2).
NPI number1679244297
StatusActive
Last updated in NPPESAug 16, 2023
Details
- NPI
- 1679244297
- Entity type
- Organization (NPI-2)
- Legal business name
- Daniel Max & Marcandrea, LLC
- Organization subpart
- No
- Enumeration date
- Sep 23, 2021
- 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
1033 Hanes Mall Blvd Ste 945Winston Salem, NC 27103-1310
Phone 561-275-2020
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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