Individual provider · Type 1 NPI

Marc A. Provencher, OD

Optometrist · Fort Collins, CO

NPI number 1184794745 Active

Practice location

4050 S Timberline Rd Unit 120
Fort Collins, CO 80525-6023

Fax (970) 282-8484

Other practice locations

  • 114 14th St SW, Loveland, CO 80537-6341 · (970) 587-3937

Specialties and licenses

TaxonomyCodeLicense
Corneal and Contact Management Optometrist 152WC0802X209T (WY)
Optometrist Primary 152W00000X2025 (CO)
Corneal and Contact Management Optometrist 152WC0802X2025 (CO)

Optometrist: 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 systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional e…

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About NPI 1184794745

Marc A. Provencher, OD's National Provider Identifier is 1184794745, issued on Nov 9, 2006. The primary taxonomy on file is Optometrist (152W00000X), and the practice location is in Fort Collins, CO. The record was last updated on Nov 2, 2022.