Daniel Max & Marc Andrea LLC
Eyewear Supplier (Equipment, not the service) in Pearland, TX. Organization (NPI-2).
NPI number1992265987
StatusActive
Last updated in NPPESAug 17, 2023
Details
- NPI
- 1992265987
- Entity type
- Organization (NPI-2)
- Legal business name
- Daniel Max & Marc Andrea LLC
- Organization subpart
- No
- Enumeration date
- Mar 25, 2019
- Certification date
- Aug 17, 2023
- Last updated
- Aug 17, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332H00000X | Eyewear Supplier (Equipment, not the service) | – | – | Yes |
Other names
- My Eye Lab (Doing Business As)
Practice location
11400 Broadway StPearland, TX 77584-3376
Phone 346-803-4720 · 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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