Organization
DANIEL & MAX, LLC
Active
Other names
Stanton Optical
Organization subpart
No
Provider details
NPI number
Authorized official
ALISHA JACKSON (MANAGED CARE MANAGER)
(561) 208-1591
Entity
Organization
Contact information
Practice address
5946 E STATE ST STE 3, ROCKFORD, IL 61108-2465
(877) 350-3399
Mailing address
1615 S CONGRESS AVE STE 105, DELRAY BEACH, FL 33445-6326
(877) 350-3399
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
10/08/2024
Last updated
10/08/2024
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