NPIMap

Organization Active NPI

Daniel Max & Marc Andrea LLC

Doing business as Stanton Optical

  • Optometrist
  • Jacksonville, FL
National Provider Identifier
1982113155
Registry record updated Aug 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
DANIEL MAX & MARC ANDREA LLC
Doing business as
Stanton Optical
Practice address
790 Skymarks Dr Ste 107
Jacksonville, FL 32218-7267
Phone
(561) 275-2020
Fax
(561) 275-2030
NPI assigned
Sep 20, 2017
Last updated
Aug 17, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

790 Skymarks Dr Ste 107
Jacksonville, FL 32218-7267

Mailing address

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

Other names 1

  • Stanton Optical Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Danielmaxmarcandrea108 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 12

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

Locations

790 Skymarks Dr
Ste 107
Jacksonville, FL 32218
Phone (904) 527-2700

NPI Registry JSON

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

{
    "created_epoch": "1505865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692230400000",
    "number": "1982113155",
    "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": "790 SKYMARKS DR STE 107",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322187267",
            "telephone_number": "561-275-2020",
            "fax_number": "561-275-2030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL MAX & MARC ANDREA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-20",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "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": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stanton Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

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