NPI 1275848202

Macarius, Max & Daniel

Organisation Eyewear Supplier Roseville, CA

Practice location

Address: 1128 Galleria Blvd, Roseville, CA 95678-1992
Phone: (916) 780-2020
Fax: (561) 828-8367
Mailing address: 3801 S Congress Ave, Palm Springs, FL 33461-4140

Authorised official

Name: Daniel Stanton
Title: Ceo
Phone: (561) 275-2020

Registered specialties (2)

Eyewear Supplier Primary

Suppliers Taxonomy 332H00000X

Other Eyewear Supplier providers in California →

Optometrist

Eye and Vision Services Providers Taxonomy 152W00000X Licence 13774 (CA)

Other Optometrist providers in California →

Registry record

NPI: 1275848202
Entity type: Organization
NPI issued: 14 Aug 2010
Record last updated: 17 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.