NPI 1407675200

Daniel & Max, LLC

Organisation Eyewear Supplier Rockford, IL

Practice location

Address: 5946 E State St STE 3, Rockford, IL 61108-2465
Phone: (877) 350-3399
Mailing address: 1615 S Congress Ave STE 105, Delray Beach, FL 33445-6326

Authorised official

Name: Alisha Jackson
Title: Managed Care Manager
Phone: (561) 208-1591

Registered specialties

Eyewear Supplier Primary

Suppliers Taxonomy 332H00000X

Other Eyewear Supplier providers in Illinois →

Registry record

NPI: 1407675200
Entity type: Organization
NPI issued: 8 Oct 2024
Record last updated: 8 Oct 2024

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.