NPI 1053879569

Daniel Max & Marcandrea LLC

Organisation Eyewear Supplier Fort Worth, TX

Practice location

Address: 501 Alta Mere Dr STE 1021, Fort Worth, TX 76114-4014
Phone: (817) 502-6330
Fax: (561) 828-8367
Mailing address: 3801 S Congress Ave, Palm Springs, FL 33461-4140

Authorised official

Name: Jackie Bennett
Title: Credentialing Manager
Phone: (561) 612-4531

Registered specialties

Eyewear Supplier Primary

Suppliers Taxonomy 332H00000X

Other Eyewear Supplier providers in Texas →

Registry record

NPI: 1053879569
Entity type: Organization
NPI issued: 5 Mar 2019
Record last updated: 19 Feb 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.