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Active NPI 1063959666 Organization (Entity Type 2)

Daniel & Max, Llc

Eyewear Supplier • Waco, TX

About Daniel & Max, Llc NPI 1063959666 Summary

Daniel & Max, Llc is a verified healthcare organization specializing in Eyewear Supplier operating in Waco, TX. Located at 5001 W WACO DR, this facility provides patient care and medical services under National Provider Identifier (NPI) 1063959666.

Administrative operations and authorized compliance are overseen by Kirsten Cantrell (Manager Of Health Services).

The facility is associated with 1 linked healthcare practitioner providing clinical services.

Facility Location & Contact Primary Location

Facility Address

5001 W Waco Dr

Waco, TX 767107021

Telephone 2542944026
Fax 5618288367

Authorized Official Information

Authorized Contact Name

Kirsten Cantrell

Title / Role

Manager Of Health Services

Official Telephone

5612088464

Facility Classifications & Specialties

Eyewear Supplier Primary Taxonomy

NUCC Taxonomy Code: 332H00000X

An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

Affiliated Practitioners & Clinicians

Healthcare professionals and specialists practicing at this facility or affiliated group locations

1 Linked

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

8 Historical Events
📍
Updated Business Mailing Address August 11, 2023

Registered at 1615 S CONGRESS AVE STE 105, DELRAY BEACH, FL 334456326 (Tel: 5612752020)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 18, 2021

Eyewear Supplier

NPI Profile Active January 21, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location January 21, 2017

Registered at 5001 W WACO DR, WACO, TX 767107021 (Tel: 5612752020)

📍
Updated Business Mailing Address January 21, 2017

Registered at 3801 S CONGRESS AVE, PALM SPRINGS, FL 334614140 (Tel: 5612752020)

🏛️
Organization / Clinic Name Updated January 21, 2017

Operating as DANIEL & MAX, LLC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 21, 2017

Optometrist

🟢
Initial NPI Registration & Enumeration January 21, 2017

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

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NPI Organization Metadata

NPI Number: 1063959666
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: January 21, 2017
Last Update: August 11, 2023

Mailing Address

1615 S Congress Ave Ste 105

Delray Beach, FL 334456326

Phone: 5612752020

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.
⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.