NPIMap

Organization Active NPI

Macarius, Max & Daniel

  • Eyewear Supplier
  • Roseville, CA
National Provider Identifier
1275848202
Registry record updated Feb 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
MACARIUS, MAX & DANIEL
Practice address
1128 Galleria Blvd
Roseville, CA 95678-1992
Phone
(916) 780-2020
Fax
(561) 828-8367
NPI assigned
Aug 14, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2021

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

Authorized official

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 13774 CA
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

1128 Galleria Blvd
Roseville, CA 95678-1992

Mailing address

3801 S Congress Ave
Palm Springs, FL 33461-4140
Phone (561) 275-2020

Other names 1

  • STANTON OPTICAL Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Macarius Max Daniel LLC8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1128 Galleria Blvd
Roseville, CA 95678
Phone (916) 780-2020

NPI Registry JSON

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

{
    "created_epoch": "1281744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613520000000",
    "number": "1275848202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 S CONGRESS AVE",
            "city": "PALM SPRINGS",
            "state": "FL",
            "postal_code": "334614140",
            "telephone_number": "561-275-2020",
            "fax_number": "561-275-2002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1128 GALLERIA BLVD",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956781992",
            "telephone_number": "916-780-2020",
            "fax_number": "561-828-8367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MACARIUS, MAX & DANIEL",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-14",
        "last_updated": "2021-02-17",
        "certification_date": "2021-02-17",
        "status": "A",
        "authorized_official_last_name": "STANTON",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-275-2020",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13774",
            "primary": false
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "STANTON OPTICAL",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "STANTON OPTICAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Roseville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2021; 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.