Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARC A PROVENCHER, O.D.
ActiveDR. MARC A PROVENCHER, O.D. is a Optometrist healthcare provider located in FORT COLLINS, Colorado. NPI 1184794745 is currently active in the NPPES registry. Verify at CMS.
Optometrist · FORT COLLINS, CO
Registration Details
- NPI Number
- 1184794745
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 9, 2006 (19.805813093172 yrs)
- Last Updated
- Nov 2, 2022
- Licenses
-
209T (WY)2025 (CO)2025 (CO)
Practice Information
- Address
-
4050 S TIMBERLINE RD UNIT 120FORT COLLINS, CO, 805256023Browse CO providers · Browse ZIP 80525
- Phone
- 9702828888
- Fax
- 9702828484
- Primary Specialty
-
Optometrist
152W00000X
- Additional Specialty
- Optometrist
- Additional Specialty
- Corneal & Contact Management Optometrist
Other Optometrist Providers in FORT COLLINS, CO
| Name | Credential | NPI |
|---|---|---|
| DR. MARK D JACKSON | OD | 1023015005 |
| DR. MATTHEW J SKRDLA | O.D. | 1750377172 |
| DR. AMY S ABEL | O.D. | 1295724516 |
| DR. KYLE DAVID TREICK | OD | 1235129115 |
| EDITH G BOWMAN | OD | 1801886502 |
| DR. ERIC R REISLER | O.D. | 1356331839 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.