Dr. Marc A Provencher is a Fort Collins, Colorado based male Corneal and Contact Management Optometrist with 45 years of experience in Optometry - Corneal and Contact Management. He completed his graduation from Pacific University - College Of Optometry in 1979. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Marc A Provencher is 2025 for Optometry in Colorado.
Dr. Marc A Provencher performs professional activities related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear.
Complete Profile:
Dr. Marc A Provencher speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Specialization: | Optometry - Corneal and Contact Management |
| Credentials: | O.D. |
| Experience: | 45+ years |
| Medical School Attended: | Pacific University - College Of Optometry |
| Graduation Year: | 1979 |
| Gender: | Male |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 4050 S Timberline Rd Unit 120, Fort Collins,
Colorado, 80525-6023 |
| Phone: | 970-282-8888 |
| Fax: | 970-282-8484 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 5597721654 |
| Enrollment ID: | I20041209000702 |
| NPI Number: | 1184794745 |
| NPI Enumeration Date: | 09 Nov, 2006 |
| NPI Last Update On: | 02 Nov, 2022 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Marc A Provencher are as mentioned below.
| License Number | Specialization | State | Status | |
| 2025 | Optometry | Colorado | Primary | |
| 209T | Optometry - Corneal and Contact Management | Wyoming | Secondary | |
| 2025 | Optometry - Corneal and Contact Management | Colorado | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Marc A Provencher such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 1659005387 | Other | | TYPE 2 NPI |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 4050 S Timberline Rd Unit 120,
Fort Collins, Colorado |
| Zip: | 80525-6023 |
| Phone Number: | 970-282-8888 |
| Fax Number: | 970-282-8484 |
Patients can reach Dr. Marc A Provencher at
4050 S Timberline Rd Unit 120, Fort Collins, Colorado or can
call to book an appointment on 970-282-8888. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.