OrganizationActive
Daniel Max & Marcandrea LLC
NPI 1144782889 · Eyewear Supplier · Fort Worth, TX
Provider details
- NPI number
- 1144782889
- 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
7 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
8901 North Fwy Ste 105
Fort Worth, TX 76177-7655
Phone: (682) 350-2605
Fax: (561) 828-8367
Approximate (ZIP-level) locationGet directions
Mailing address
3801 S Congress Ave
Palm Springs, FL 33461-4140
Registry dates
- Enumerated
- 2019-04-02
- Last updated
- 2021-02-19
- Certified
- 2021-02-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.