STANTON OPTICAL
NPI 1922594159
Eyewear Supplier in Medford, OR

Active since July 11, 2018
38 ROSSANLEY DR, MEDFORD, OR 97501(541) 292-5550(561) 828-8367 Get Directions Write a Review

NPPES record last updated: February 18, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 18, 2021, Jul 11, 2018 (2 updates tracked since 2018).

  • Organization
  • Eyewear Supplier

About STANTON OPTICAL

This page provides the complete NPI Profile along with additional information for Stanton Optical, a provider established in Medford, Oregon operating as a Eyewear Supplier. The healthcare provider is registered in the NPI registry with number 1922594159 assigned on July 2018. The practitioner's primary taxonomy code is 332H00000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as Stanton Optical. The authorized official of this NPI record is Jackie Bennett (Credentialing Manager)

NPI
1922594159 Verify this NPI
Provider Legal Name
DANIEL & MAX LLC
Other Organization Name
STANTON OPTICAL
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
38 ROSSANLEY DR MEDFORD, OR 97501
Location Phone
(541) 292-5550
Location Fax
(561) 828-8367
Mailing Address
3801 S CONGRESS AVE PALM SPRINGS, FL 33461
Mailing Phone
(561) 275-2020
Mailing Fax
(561) 275-2030
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-11-2018
Last Update Date
02-18-2021
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Eyewear Supplier

Taxonomy Code
332H00000X
Type
Suppliers
Taxonomy Description
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JACKIE BENNETT

Authorized Official Title
CREDENTIALING MANAGER
Authorized Official Phone
(561) 612-4531

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Optometrist
38 ROSSANLEY DR
MEDFORD, OR 97501

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1922594159, enumerated as an "organization" on July 11, 2018.

The provider is located at 38 ROSSANLEY DR MEDFORD, OR 97501 and the phone number is (541) 292-5550.

Eyewear Supplier with taxonomy code 332H00000X.