Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Daniel Max & Marcandrea LLC

Organization Eyewear Supplier · NPI 1053879569

Daniel Max & Marcandrea LLC is an Eyewear Supplier in Fort Worth, Texas. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

501 Alta Mere Dr Ste 1021
Fort Worth, TX 76114-4014
Phone: (817) 502-6330
Fax: (561) 828-8367
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Eyewear Supplier (primary) Taxonomy 332H00000X

Record details

NPI number1053879569
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jackie Bennett — Credentialing Manager · (561) 612-4531
Other names My Eyelab
NPI enumeratedMarch 5, 2019
Last updated in NPPESFebruary 19, 2021
Certification dateFebruary 19, 2021
Mailing address3801 S Congress Ave, Palm Springs, FL 33461-4140

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