1. Home
  2. Directory
  3. Texas
  4. Fort Worth
  5. Eyewear Supplier
  6. NPI Profile

MY EYELAB
NPI 1053879569
Eyewear Supplier in Fort Worth, TX

Active since March 05, 2019
501 ALTA MERE DR STE 1021, FORT WORTH, TX 76114(817) 502-6330(561) 828-8367 Get Directions Write a Review

NPPES record last updated: February 19, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 19, 2021, Mar 5, 2019 (2 updates tracked since 2019).

About My Eyelab NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MY EYELAB (NPI 1053879569) is a healthcare organization registered as an eyewear supplier in Fort Worth, Texas and active in the NPI registry since March 2019. The organization lists Jackie Bennett, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1053879569
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameDANIEL MAX & MARCANDREA LLC
Location Address501 ALTA MERE DR STE 1021Fort Worth, TX 76114-4014
Mailing Address3801 S Congress AvePalm Springs, FL 33461-4140 · (561) 275-2020 · Fax (561) 275-2030
Phone(817) 502-6330
Fax(561) 828-8367
Organization SubpartNo
Authorized OfficialJackie BennettCredentialing Manager · (561) 612-4531
Enumeration DateMarch 5, 2019
Last NPPES UpdateFebruary 19, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 19, 2021
✔ NPI 1053879569 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEyewear SupplierSuppliers
Taxonomy Code332H00000X
Definition

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

501 ALTA MERE DR STE 1021, Fort Worth, TX 76114
Open in Google Maps ↗

Other Names 1

Doing Business AsMy Eyelab

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Daniel Max & Marcandrea LLC's NPI number?

The NPI number for Daniel Max & Marcandrea LLC is 1053879569. It was assigned to this organization in the NPPES registry on March 5, 2019. The provider is doing business as My Eyelab.

Where is Daniel Max & Marcandrea LLC located?

Daniel Max & Marcandrea LLC is located at 501 Alta Mere Dr Ste 1021, Fort Worth, TX 76114. The listed phone number is (817) 502-6330.

What is Daniel Max & Marcandrea LLC's specialty?

The primary specialty registered for this NPI is Eyewear Supplier with taxonomy code 332H00000X.

What insurance does Daniel Max & Marcandrea LLC accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 2 other insurers list Daniel Max & Marcandrea LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Daniel Max & Marcandrea LLC was last updated on February 19, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.