Active NPI
Daniel & Max LLC
Doing business as Stanton Optical
- Eyewear Supplier
- Medford, OR
National Provider Identifier
1922594159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- Legal business name
- DANIEL & MAX LLC
- Doing business as
- Stanton Optical
- Practice address
- 38 Rossanley Dr
Medford, OR 97501 - Phone
- (541) 292-5550
- Fax
- (561) 828-8367
- NPI assigned
- Jul 11, 2018
- Last updated
- Feb 18, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jackie Bennett
- Title
- Credentialing Manager
- Phone
- (561) 612-4531
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | NU | Primary |
Addresses
Primary practice location
38 Rossanley Dr
Medford, OR 97501
Mailing address
3801 S Congress Ave
Palm Springs, FL 33461-4140
Phone (561) 275-2020
Other names 1
- Stanton Optical
National Provider Directory
National Provider Directory- Tax ID family
- Daniel Max LLC
Organizations with this tax ID in the same state 3
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
Locations
38 Rossanley Dr
Medford, OR 97501
Phone (541) 292-5550
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.
-
- Optometrist
- Medford, OR
- NPI 1417339359
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531267200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1613606400000",
"number": "1922594159",
"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": "561-275-2030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "38 ROSSANLEY DR",
"city": "MEDFORD",
"state": "OR",
"postal_code": "97501",
"telephone_number": "541-292-5550",
"fax_number": "561-828-8367"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DANIEL & MAX LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-07-11",
"last_updated": "2021-02-18",
"certification_date": "2021-02-18",
"status": "A",
"authorized_official_last_name": "BENNETT",
"authorized_official_first_name": "JACKIE",
"authorized_official_title_or_position": "CREDENTIALING MANAGER",
"authorized_official_telephone_number": "561-612-4531"
},
"taxonomies": [
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": "NU",
"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 Medford, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.