Marc A Provencher in Fort Collins - Optometrist
Marc A Provencher - NPI 1275717266
Marc A Provencher is a Optometrist in Fort Collins, Colorado. Marc A Provencher practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Marc A Provencher is 1275717266. The last update date is 2010-01-12.
Marc A Provencher's current location address is 4050 Timberline Rd, Fort Collins, Colorado. You can contact this provider via phone number 9702828888 and fax number 9702828484. The mailing address for Marc A Provencher is 4050 Timberline Rd, Fort Collins, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Marc A Provencher |
|---|---|
| Address | 4050 Timberline Rd, Fort Collins, Colorado |
| Phone Number | 9702828888 |
| Fax Number | 9702828484 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DOCTOR/OWN |
|---|---|
| Authorized Official Name | Provencher A Marc |
| Credentials | OD |
| Telephone Number | 9702828888 |
NPI Number Detail
| NPI Number | 1275717266 |
|---|---|
| Provider Enumeration Date | 2007-12-26 |
| Last Updated Date | 2010-01-12 |
Provider Mailing Address Detail
| Address | 4050 Timberline Rd |
|---|---|
| City | Fort Collins |
| State | Colorado (CO) |
| Post Code | 805256032 |
| Phone Number | 9702828888 |
| Fax Number | 9702828484 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 2025 |
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Definition: 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 |
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What is the unique 10-digit identifier code issued to Marc A Provencher by the Centers for Medicare & Medicaid Services?
The Marc A Provencher has been assigned the NPI (National Provider Identifier) 1275717266 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Marc A Provencher is located?
The Marc A Provencher is situated at the following address: 4050 Timberline Rd, Fort Collins, CO, 805256032.
What is the Marc A Provencher's specialty and taxonomy code?
The Marc A Provencher's specialty is Optometrist, and the corresponding taxonomy code is 152W00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1275717266 to Marc A Provencher?
The Marc A Provencher received its 1275717266 assignment from the Centers for Medicare & Medicaid Services on 2007-12-26.
As of what date were the Marc A Provencher's details last updated?
The information pertaining to the Marc A Provencher, including its address, specialty, and other details, was most recently updated on 2010-01-12.
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