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DANIEL MAX & MARC ANDREA LLC
NPI 1053964908
Eyewear Supplier in Statesboro, GA

Active since July 19, 2019
113 NORTHSIDE DR E, STATESBORO, GA 30458(561) 275-2020(561) 828-8367 Get Directions Write a Review

NPPES record last updated: February 17, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 17, 2021, Jul 19, 2019 (2 updates tracked since 2019).

About Daniel Max & Marc Andrea Llc NPPES

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

DANIEL MAX & MARC ANDREA LLC (NPI 1053964908) is a healthcare organization registered as an eyewear supplier in Statesboro, Georgia and active in the NPI registry since July 2019. The organization lists Jackie Bennett, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1053964908
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameDANIEL MAX & MARC ANDREA LLC
Location Address113 NORTHSIDE DR EStatesboro, GA 30458-2185
Mailing Address3801 S Congress AvePalm Springs, FL 33461-4140 · (561) 275-2020 · Fax (561) 828-8367
Phone(561) 275-2020
Fax(561) 828-8367
Organization SubpartNo
Authorized OfficialJackie BennettCredentialing Manager · (561) 612-4531
Enumeration DateJuly 19, 2019
Last NPPES UpdateFebruary 17, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 17, 2021
✔ NPI 1053964908 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.
113 NORTHSIDE DR E, Statesboro, GA 30458
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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 & Marc Andrea LLC's NPI number?

The NPI number for Daniel Max & Marc Andrea LLC is 1053964908. It was assigned to this organization in the NPPES registry on July 19, 2019.

Where is Daniel Max & Marc Andrea LLC located?

Daniel Max & Marc Andrea LLC is located at 113 Northside Dr E, Statesboro, GA 30458. The listed phone number is (561) 275-2020.

What is Daniel Max & Marc Andrea LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Daniel Max & Marc Andrea LLC was last updated on February 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.