Dr. Marc A Provencher
Optomitrist - Corneal and Contact Lenses
4050 Timberline Rd Suite 120
Fort Collins
, Colorado 80525-6032
Dr. Marc A Provencher
Optomitrist - Corneal and Contact Lenses
4050 Timberline Rd Suite 120
Fort Collins
, Colorado 80525-6032
(970) 472-8484
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About
Features
Specialties
- Optomitrist - Corneal and Contact Lenses
Languages spoken
- English
Location
First Address
- Dr. Marc A Provencher
- 4050 Timberline Rd Suite 120
- Fort Collins, CO
- Zip : 80525-6032
- Fax : (970) 472-8484
- Phone : (970) 472-8888
Second Address
- Dr. Marc A Provencher
- 4050 Timberline Rd Suite 120
- Fort Collins, CO
- Zip : 80525-6032
- Fax : (970) 472-8484
- Phone : (970) 472-8888
Reviews
FAQs
Where did Dr. Marc A Provencher attend graduate school?
Where did Dr. Marc A Provencher do his residency?
Where did Dr. Marc A Provencher do his fellowship?
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What type of doctor is Dr. Marc A Provencher
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Where is Dr. Marc A Provencher ’s practice located?
What is Dr. Marc A Provencher ’s gender?
Is Dr. Marc A Provencher a sole practitioner?
Is Dr. Marc A Provencher accepting new patients?
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Does Dr. Marc A Provencher accept insurance?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 152WC0802X | Optomitrist - Corneal and Contact Lenses | 2025 | CO |
| N | 152WC0802X | Optomitrist - Corneal and Contact Lenses | 209T | WY |
National Provider Identifier
| NPI | 1184794745 |
|---|---|
| Provider Name | Dr. Marc A Provencher |
| First Address | Fort Collins, CO 80525-6032 |
| Second Address | Fort Collins, CO 80525-6032 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/11/2006 |
| Last Update Date | 12/01/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| U84901 | (02) | CO |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.