# DANIEL MAX & MARCANDREA, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** My EyeLab
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104585835
- **Authorized official:** DANIEL GARZA (MANAGED CARE DIRECTOR)
- **Authorized official phone:** (561) 720-6423

## Contact information

- **Practice address:** 2316 CHERRY RD, SUITE 103, ROCK HILL, SC 29732
- **Practice address phone:** (956) 335-6476
- **Mailing address:** 3801 S CONGRESS AVE, PALM SPRINGS, FL 33461-4140
- **Mailing address phone:** (561) 433-6009

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | — | NULL | — |
| 152W00000X | Optometrist | — | — | — |
| 332H00000X | Eyewear Supplier | — | NULL | Yes |

## Other

- **Enumeration date:** 12/09/2021
- **Last updated:** 12/09/2021