NPIMap

Organization Active NPI

Daniel Max & Marc Andrea LLC

Doing business as Eyelab

  • Eyewear Supplier
  • Pembroke Pines, FL
National Provider Identifier
1164858577
Registry record updated Aug 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
DANIEL MAX & MARC ANDREA LLC
Doing business as
Eyelab
My EyeLab
Practice address
11005 Pines Blvd Ste 510
Pembroke Pines, FL 33026-5217
Phone
(954) 248-5010
Fax
(561) 828-8367
NPI assigned
Sep 17, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kirsten Pipher Cantrell
Title
Manager of Health Services
Phone
(561) 208-8464

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

11005 Pines Blvd Ste 510
Pembroke Pines, FL 33026-5217

Mailing address

1615 S Congress Ave Ste 105
Delray Beach, FL 33445-6326
Phone (561) 208-8464

Other names 2

  • EYELAB Doing business as
  • My EyeLab Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Daniel Max Marcandrea LLC108 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 14

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 14

Locations

3801 S Congress Ave
Palm Springs, FL 33461
Phone (561) 433-6009

11005 Pines Blvd
Ste 510
Pembroke Pines, FL 33026
Phone (954) 248-5010

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1379376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692144000000",
    "number": "1164858577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 S CONGRESS AVE STE 105",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334456326",
            "telephone_number": "561-208-8464",
            "fax_number": "561-275-2030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11005 PINES BLVD STE 510",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330265217",
            "telephone_number": "954-248-5010",
            "fax_number": "561-828-8367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL MAX & MARC ANDREA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-17",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A",
        "authorized_official_last_name": "CANTRELL",
        "authorized_official_first_name": "KIRSTEN",
        "authorized_official_middle_name": "PIPHER",
        "authorized_official_title_or_position": "MANAGER OF HEALTH SERVICES",
        "authorized_official_telephone_number": "561-208-8464"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EYELAB",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "EYELAB",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "My EyeLab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.