P Praxis·MD
● Active Type 2 · Organization

Daniel Max & Marc Andrea Llc

Eyewear Supplier·Statesboro, GA· NPI 1053964908 · Enumerated 2019 · 6 years on NPI
Daniel Max & Marc Andrea Llc is 1 of 526 eyewear supplier organizations in Georgia.
NPI age
6 years
Enumerated 2019-07-19
Primary specialty
Eyewear Supplier
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Bennett
Credentialing Manager
Last NPPES update
2021-02-17
Source: monthly bulk 2026-05

How this organization compares

Across 526 active eyewear supplier providers in Georgia.

NPI age
6 years
↓ 13 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2019 → 2026

2019-07Enumerated in NPPES
2019 2026

Where they practice

Primary practice location
113 Northside Dr E
Statesboro, GA 304582185
📞 5612752020fax 5618288367
Mailing address
3801 S Congress Ave
Palm Springs, FL 334614140
📞 5612752020fax 5618288367

Authorized official

Jackie Bennett
Credentialing Manager
📞 5616124531

Specialties

  • Eyewear Supplier Primary
    An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
    taxonomy 332H00000X

Practice context

Single-site organization. Only one practice location on file.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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