OrganizationActive
Daniel Max & Marc Andrea LLC
NPI 1053964908 · Eyewear Supplier · Statesboro, GA
Daniel Max & Marc Andrea LLC is a Eyewear Supplier organization in Statesboro, GA (NPI 1053964908).
Provider details
- NPI number
- 1053964908
- Entity type
- Organization
- Primary specialty
- Eyewear SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Jackie Bennett, Credentialing Manager(561) 612-4531
Specialties & taxonomies
Suppliers
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
113 Northside Dr E
Statesboro, GA 30458-2185
Phone: (561) 275-2020
Fax: (561) 828-8367
Street-level locationGet directions
Mailing address
3801 S Congress Ave
Palm Springs, FL 33461-4140
Registry dates
- Enumerated
- 2019-07-19
- Last updated
- 2021-02-17
- Certified
- 2021-02-17
Frequently asked questions
- What is Daniel Max & Marc Andrea LLC's NPI number?
- Daniel Max & Marc Andrea LLC's National Provider Identifier (NPI) is 1053964908, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Daniel Max & Marc Andrea LLC?
- Daniel Max & Marc Andrea LLC is classified in the NPPES registry as Eyewear Supplier (Suppliers).
- Where is Daniel Max & Marc Andrea LLC located?
- Daniel Max & Marc Andrea LLC's practice location on file with NPPES is 113 Northside Dr E, Statesboro, GA 30458-2185.
- What is Daniel Max & Marc Andrea LLC's phone number?
- The practice phone number listed in the NPPES registry for Daniel Max & Marc Andrea LLC is (561) 275-2020.
- Who is the authorized official for Daniel Max & Marc Andrea LLC?
- The authorized official listed on Daniel Max & Marc Andrea LLC's NPPES record is Jackie Bennett, Credentialing Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Daniel Max & Marc Andrea LLC's NPI active?
- Yes — Daniel Max & Marc Andrea LLC's NPI (1053964908) is active in the NPPES registry as of the last update on 2021-02-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.