DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: DANIEL & MAX, LLC

MEDICARE: DANIEL & MAX, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332H00000XEyewear Supplier

General Provider Information

NPI Number : 1619819646
Entity Type Code : Organization
Provider Name (Legal Business Name) : DANIEL & MAX, LLC
Provider Business Mailing Address
First Line : 1615 S CONGRESS AVE STE 105
Second Line :
City : DELRAY BEACH
State : FL
Zip : 33445-6326
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6309 LIMA RD
Second Line :
City : FORT WAYNE
State : IN
Zip : 46818-1425
Country : US
Telephone Number : 260-451-0597
Fax Number : 260-451-0642
Authorized Official
Title or Position : MANAGED CARE MANAGER
Name : ALISHA JACKSON
Credential :
Telephone Number : 561-208-1591
Provider Enumeration Date : 04/08/2026
Last Update Date : 04/08/2026

Similar Medicare Providers

1275558140 — ARCADIA HEALTHCARE SOLUTIONS, INC.
Practice Location Address:
6309 LIMA RD
FORT WAYNE, IN
46818-1425
Practice Phone: 800-733-8427
Practice Fax: 248-352-5189
1578834974 — MEIJER STORES LIMITED PARTNERSHIP
Practice Location Address:
6309 LIMA RD
FORT WAYNE, IN
46818-1425
Practice Phone: 260-497-1010
Practice Fax: 260-497-1065
1013255884 — USV OPTICAL INC.
Practice Location Address:
6309 LIMA RD
FORT WAYNE, IN
46818-1425
Practice Phone: 260-451-0642
Practice Fax:
1265843270 — AMY JENNINGS
Practice Location Address:
6309 LIMA RD
FORT WAYNE, IN
46818-1425
Practice Phone: 616-307-9658
Practice Fax:
1619389095 — JOHN PHILLIP PURVIS
Practice Location Address:
6309 LIMA RD
FORT WAYNE, IN
46818-1425
Practice Phone: 260-497-1010
Practice Fax: 260-497-1065
1588076863 — RYAN ADES
Practice Location Address:
6309 LIMA RD
FORT WAYNE, IN
46818-1425
Practice Phone: 260-497-1010
Practice Fax: 260-497-1065

Directions to “DANIEL & MAX, LLC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.