Marc A Provencher (NPI# 1184794745, PAC ID# 5597721654) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1184794745 |
| PAC ID by PECOS | 5597721654 |
| Professional Enrollment ID | I20041209000702 |
| Full Name | Marc A Provencher |
| Address |
4050 S Timberline Rd Unit 120 Fort Collins CO 80525-6023 |
| Gender | M |
| Credential | OD |
| Medical School | PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY |
| Graduation Year | 1979 |
| Primary Specialty | OPTOMETRY |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 4050 S Timberline Rd, Unit 120, Fort Collins, CO 80525-6023 |
| Street Address |
4050 S TIMBERLINE RD UNIT 120 |
| City | FORT COLLINS |
| State | CO |
| Zip | 80525-6023 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Corrine M Layton | Occupational Therapy | Ensight Skills Center, Inc. | 1740 S College Ave, Fort Collins, CO 80525-1009 |
| Corey Byron Bernhardt | Optometry | Ensight Skills Center, Inc. | 1740 S College Ave, Fort Collins, CO 80525-1009 |
| Kursten K Von Koss | Occupational Therapy | Ensight Skills Center, Inc. | 1740 S College Ave, Fort Collins, CO 80525-1009 |
| Megan Baca | Optometry | Ensight Skills Center, Inc. | 1740 S College Ave, Fort Collins, CO 80525-1009 |
| Lisa Marie Faust | Occupational Therapy | Ensight Skills Center, Inc. | 1740 S College Ave, Fort Collins, CO 80525-1009 |
| David H Kisling | Optometry | Ensight Skills Center, Inc. | 1740 S College Ave, Fort Collins, CO 80525-1009 |
| Silvia Sorensen | Physical Therapy | 1325 E Prospect Rd, Fort Collins, CO 80525-1115 | |
| James Haas | Chiropractic | 1337 E Prospect Rd, Ft Collins, CO 80525-1115 | |
| Greg L Crawford | Chiropractic | 1337 E Prospect Rd, Fort Collins, CO 80525-1115 | |
| Steven L Kaufman | General Surgery | 1136 E Stuart St, Suite 4102, Fort Collins, CO 80525-1173 | |
| Find all physicians in zip 80525 | |||
| City | FORT COLLINS |
| Zip Code | 80525 |
| Specialty | OPTOMETRY |
| City + Specialty | FORT COLLINS + OPTOMETRY |
Please comment or provide details below to improve the information on Marc A Provencher.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.