Marc A Provencher in Fort Collins - Corneal And Contact Management
Marc A Provencher - NPI 1184794745
Marc A Provencher is a Corneal And Contact Management in Fort Collins, Colorado. Marc A Provencher practices all healthcare services and medical treatments related to Corneal And Contact Management. The NPI Number for Marc A Provencher is 1184794745. The last update date is 2022-11-02.
Marc A Provencher's current location address is 4050 S Timberline Rd Unit 120, 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 S Timberline Rd Unit 120, Fort Collins, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marc A Provencher |
|---|---|
| Address | 4050 S Timberline Rd Unit 120, Fort Collins, Colorado |
| Phone Number | 9702828888 |
| Fax Number | 9702828484 |
| Sole Proprietor | N |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1184794745 |
|---|---|
| Provider Enumeration Date | 2006-11-09 |
| Last Updated Date | 2022-11-02 |
Provider Mailing Address Detail
| Address | 4050 S Timberline Rd Unit 120 |
|---|---|
| City | Fort Collins |
| State | Colorado (CO) |
| Post Code | 805256023 |
| Phone Number | 9702828888 |
| Fax Number | 9702828484 |
Provider's Primary Taxonomy Detail
| Speciality | Corneal And Contact Management |
|---|---|
| Taxonomy | 152Wc0802X |
| Licence No | 209T |
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Definition: The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition whi |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1659005387 | TYPE 2 NPI |
Post Comment/ Review Below
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) 1184794745 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 address where Marc A Provencher is physically located?
The Marc A Provencher is situated at the following address: 4050 S Timberline Rd Unit 120, Fort Collins, CO 805256023.
What is the Marc A Provencher's specialty and taxonomy code?
The Marc A Provencher's specialty is Corneal And Contact Management, and the corresponding taxonomy code is 152Wc0802X.
On what date did Marc A Provencher receive its 1184794745 assignment from the Centers for Medicare & Medicaid Services?
The Marc A Provencher was assigned its 1184794745 on 2006-11-09, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Marc A Provencher's information last updated?
The Marc A Provencher's information was last updated on 2022-11-02.
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