OrganizationActive
Daniel, Max & Marcandrea, LLC
NPI 1043807100 · Eyewear Supplier · Charlotte, NC
Provider details
- NPI number
- 1043807100
- Entity type
- Organization
- Primary specialty
- Eyewear SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Jackie Bennett, Credentialing Supervisor(561) 612-4531
Specialties & taxonomies
Suppliers
Practice location
4704 South Blvd Ste a
Charlotte, NC 28217-2745
Phone: (704) 270-8585
Fax: (561) 828-8367
Approximate (ZIP-level) locationGet directions
Mailing address
3801 S Congress Ave
Palm Springs, FL 33461-4140
Other names (DBA / former)
- Doing business as
- My Eyelab
Registry dates
- Enumerated
- 2020-12-23
- Last updated
- 2021-02-22
- Certified
- 2021-02-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.