OrganizationActive
Daniel Max & Marcandrea LLC
NPI 1134781792 · Eyewear Supplier · Fort Worth, TX
Daniel Max & Marcandrea LLC is a Eyewear Supplier organization in Fort Worth, TX (NPI 1134781792).
Provider details
- NPI number
- 1134781792
- 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
4619 S Hulen St, Suite C
Fort Worth, TX 76132
Phone: (682) 200-3879
Fax: (561) 828-8367
Street-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
- 2019-07-03
- Last updated
- 2021-02-22
- Certified
- 2021-02-22
Frequently asked questions
- What is Daniel Max & Marcandrea LLC's NPI number?
- Daniel Max & Marcandrea LLC's National Provider Identifier (NPI) is 1134781792, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Daniel Max & Marcandrea LLC?
- Daniel Max & Marcandrea LLC is classified in the NPPES registry as Eyewear Supplier (Suppliers).
- Where is Daniel Max & Marcandrea LLC located?
- Daniel Max & Marcandrea LLC's practice location on file with NPPES is 4619 S Hulen St, Suite C, Fort Worth, TX 76132.
- What is Daniel Max & Marcandrea LLC's phone number?
- The practice phone number listed in the NPPES registry for Daniel Max & Marcandrea LLC is (682) 200-3879.
- Who is the authorized official for Daniel Max & Marcandrea LLC?
- The authorized official listed on Daniel Max & Marcandrea 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 & Marcandrea LLC's NPI active?
- Yes — Daniel Max & Marcandrea LLC's NPI (1134781792) is active in the NPPES registry as of the last update on 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.