Organization
DANIEL & MAX
Active
Other names
Stanton Optical
Organization subpart
No
Provider details
NPI number
Authorized official
KIRSTEN PIPHER CANTRELL (MANAGER OF HEALTH SERVICES)
(561) 208-8464
Entity
Organization
Contact information
Practice address
1301 N MAIN ST STE 100, FUQUAY VARINA, NC 27526-2618
(561) 275-2020
Mailing address
1615 S CONGRESS AVE STE 105, DELRAY BEACH, FL 33445-6326
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
10/19/2023
Last updated
10/19/2023
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