NPIMap

Organization Active NPI

Daniel Max & Marc Andrea LLC

Doing business as My Eye Lab

  • Eyewear Supplier
  • Pearland, TX
National Provider Identifier
1992265987
Registry record updated Aug 17, 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 Eye Lab
Practice address
11400 Broadway St
Pearland, TX 77584-3376
Phone
(346) 803-4720
Fax
(561) 828-8367
NPI assigned
Mar 25, 2019
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
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

11400 Broadway St
Pearland, TX 77584-3376

Mailing address

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

Other names 1

  • My Eye Lab 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

11400 Broadway St
Pearland, TX 77584
Phone (346) 803-4720

NPI Registry JSON

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

{
    "created_epoch": "1553472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692230400000",
    "number": "1992265987",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11400 BROADWAY ST",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775843376",
            "telephone_number": "346-803-4720",
            "fax_number": "561-828-8367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL MAX & MARC ANDREA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-25",
        "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": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "My Eye Lab",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "My Eye Lab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pearland, TX

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.