Organization
MACARIUS & DANIEL
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
434 GAMMON PL, MADISON, WI 53719-1090
(608) 237-3976
(561) 828-8367
Mailing address
1615 S CONGRESS AVE STE 105, DELRAY BEACH, FL 33445-6326
(561) 275-2020
(561) 275-2002
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
316335
WI
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
08/14/2010
Last updated
08/11/2023
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