Organization · NPI-2
Daniel Max & Marc Andrea LLC
Eyewear Supplier (Equipment, not the service) · Denton, TX
NPI number1689423931
StatusActive
Last updated in NPPESMay 17, 2024
Details
- NPI
- 1689423931
- Entity type
- Organization (NPI-2)
- Legal business name
- Daniel Max & Marc Andrea LLC
- Organization subpart
- Yes
- Enumeration date
- May 17, 2024
- Certification date
- May 17, 2024
- Last updated
- May 17, 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
2505 W University Dr Unit 1015Denton, TX 76201-1903
Phone 940-268-2100 · Fax 940-268-0114
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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