DANIEL MAX & MARCANDREA LLC (NPI# 1053879569) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053879569 |
| Entity Type | Organization |
| Organization Name | DANIEL MAX & MARCANDREA LLC |
| Practice Address |
501 Alta Mere Dr Ste 1021 Fort Worth TX 76114-4014 |
| Mailing Address |
3801 S Congress Ave Palm Springs FL 33461-4140 |
| Practice Telephone | 5612752020 |
| Practice Fax Number | 5612752030 |
| Mailing Telephone | 5612752020 |
| Mailing Fax Number | 5612752030 |
| Enumeration Date | 2019-03-05 |
| Last Update Date | 2019-03-05 |
| Authorized Official Name | JACKIE BENNETT (CREDENTIALING MANAGER) |
| Authorized Official Telephone | 5616124531 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467096552 | Daniel Max & Marcandrea LLC | Optometrist | 10535 Westheimer Rd # 101, Houston, TX 77042-3571 | 2019-10-31 |
| 1376185512 | Daniel Max & Marcandrea LLC | Optometrist | 1701 East Broad St., Ste 109, Mansfield, TX 76063 | 2019-10-09 |
| 1144879552 | Daniel Max & Marcandrea LLC | Optometrist | 819 E Interstate 30, Rockwall, TX 75087-5506 | 2019-09-09 |
| 1720632573 | Daniel Max & Marcandrea LLC | Optometrist | 5049 N Central Expy, Plano, TX 75023-4701 | 2019-07-30 |
| 1376197111 | Daniel Max & Marcandrea LLC | Optometrist | 806 W Oglethorpe Hwy Unit C, Hinesville, GA 31313-4498 | 2019-07-30 |
| 1902468291 | Daniel Max & Marcandrea LLC | Optometrist | 15242 Wallisville Rd Ste F, Houston, TX 77049-4627 | 2019-07-08 |
| 1659933943 | Daniel Max & Marcandrea LLC | Optometrist | 22377 Bellaire Blvd Ste 300, Richmond, TX 77407-3926 | 2019-07-08 |
| 1134781792 | Daniel Max & Marcandrea LLC | Optometrist | 4619 S Hulen St, Suite C, Fort Worth, TX 76132 | 2019-07-03 |
| 1558923441 | Daniel Max & Marcandrea LLC | Optometrist | 1316 Precinct Line Rd, Hurst, TX 76053-3865 | 2019-07-01 |
| 1144782889 | Daniel Max & Marcandrea LLC | Optometrist | 8901 N. Freeway Service Rd E, Ste 105, Fort Worth, TX 76177 | 2019-04-02 |
| Street Address |
501 ALTA MERE DR STE 1021 |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76114-4014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952917957 | Jennie Bauchert | Massage Therapist | 1205 Roaring Springs Rd., Ft Worth, TX 76114 | 2020-09-16 |
| 1417438243 | North Texas Area Community Health Centers, Inc | Pharmacy | 2332 Beverly Hills Drive Ste 1116, Ft. Worth, TX 76114 | 2018-08-29 |
| 1023525573 | Jennifer Christine Arriaga | Occupational Therapy Assistant | 125 Smallwood, Fort Worth, TX 76114 | 2018-01-05 |
| 1831617216 | Kailene Allis | Specialist/Technologist | 5519 Norte Dame Ave, River Oaks, TX 76114 | 2017-09-06 |
| 1336662022 | Ben Luka | Dentist | 639 Alta Mere Dr, Fort Worth, TX 76114 | 2017-07-25 |
| 1750771382 | Signature Family Dentistry Pllc | Dentist | 4839 River Oaks Blvd., River Oaks, TX 76114 | 2015-02-04 |
| 1447668223 | Wal-mart Stores Texas, LLC | Technician/Technologist | 2245 Jacksonboro Hwy, Ft. Worth, TX 76114 | 2014-07-24 |
| 1558611897 | Walgreens | Pharmacist | 5716 Aton Ave, Westworth Village, TX 76114 | 2012-09-13 |
| 1437439551 | Ashley Kristen Murrey | Dentist | 6628 Westworth Blvd, Westworth Village, TX 76114 | 2011-08-20 |
| 1598054637 | Ashley Anne Trabon | Physician Assistant | 4819 River Oaks, Fort Worth, TX 76114 | 2011-03-29 |
| Find all providers in zip 76114 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841805645 | Mary Kathryn Walters | Optometrist | 655 Taylor Street, Fort Worth, TX 76102-4821 | 2020-09-09 |
| 1053920546 | Christa Marie Widjaja | Optometrist | 1700 Montgomery St, Fort Worth, TX 76107 | 2020-07-30 |
| 1275168403 | National Vision Inc | Optometrist | 5609 Sierra Springs Ln, Fort Worth, TX 76123-2183 | 2020-03-09 |
| 1659933125 | Robert Xiang Li | Optometrist | 3524 Highway 114 Ste 300, Fort Worth, TX 76177-2197 | 2019-07-03 |
| 1134781792 | Daniel Max & Marcandrea LLC | Optometrist | 4619 S Hulen St, Suite C, Fort Worth, TX 76132 | 2019-07-03 |
| 1144782889 | Daniel Max & Marcandrea LLC | Optometrist | 8901 N. Freeway Service Rd E, Ste 105, Fort Worth, TX 76177 | 2019-04-02 |
| 1083179600 | Joseph Khang Vu | Optometrist | 4800 S Hulen St Ste 147, Fort Worth, TX 76132-1415 | 2019-02-07 |
| 1477030567 | Brandon Ronald Lee | Optometrist | 2644 E Berry St., Fort Worth, TX 76105 | 2018-07-23 |
| 1932685682 | Jennifer Marie Wiernas | Optometrist | 6333 Camp Bowie Blvd Ste 272, Fort Worth, TX 76116-5444 | 2018-07-16 |
| 1215440102 | Benjamin Ho | Optometrist | 4644 Timken Trl, Fort Worth, TX 76137-6146 | 2017-11-14 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76114 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.