NPIMap

Organization Active NPI

Daniel Max & Marc Andrea LLC

Doing business as My EyeLab

  • Eyewear Supplier
  • Dallas, TX
National Provider Identifier
1578058319
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
My EyeLab
Practice address
12755 Midway Rd
Dallas, TX 75244-6333
Phone
(972) 348-0577
Fax
(561) 828-8367
NPI assigned
Jun 25, 2018
Last updated
Aug 16, 2023By the provider in NPPES
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

12755 Midway Rd
Dallas, TX 75244-6333

Mailing address

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

Other names 1

  • My EyeLab Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Stanton Optical108 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

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

View all 24

Locations

12755 Midway Rd
Dallas, TX 75244
Phone (972) 348-0577

NPI Registry JSON

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

{
    "created_epoch": "1529884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692144000000",
    "number": "1578058319",
    "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": "12755 MIDWAY RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752446333",
            "telephone_number": "972-348-0577",
            "fax_number": "561-828-8367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL MAX & MARC ANDREA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-25",
        "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": "My EyeLab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, TX

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.