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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARC A PROVENCHER

Active Organization

MARC A PROVENCHER is a Optometrist organization located in FORT COLLINS, Colorado. NPI 1275717266 is currently active in the NPPES registry. Verify at CMS.

Optometrist · FORT COLLINS, CO

Registration Details

NPI Number
1275717266
Provider Type
Organization
NPI Issued
Dec 26, 2007 (18.673080996118 yrs)
Last Updated
Jan 12, 2010
License
2025 (CO)

Practice Information

Address
4050 TIMBERLINE RD
SUITE 120
FORT COLLINS, CO, 805256032
Browse CO providers · Browse ZIP 80525
Phone
9702828888
Fax
9702828484
Primary Specialty
Optometrist
152W00000X

Other Optometrist Organizations in FORT COLLINS, CO

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.