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DR. MARC A PROVENCHER O.D.
NPI 1184794745
Optometrist in Fort Collins, CO

Active since November 09, 2006
4050 S TIMBERLINE RD UNIT 120, FORT COLLINS, CO 80525(970) 282-8888(970) 282-8484 Get Directions Write a Review

NPPES record last updated: November 2, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Marc A Provencher O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARC A PROVENCHER O.D. (NPI 1184794745) is an individual optometrist in Fort Collins, Colorado, licensed in Colorado (2025) and active in the NPI registry since November 2006. He maintains a secondary practice location in Loveland.

NPPES Registry Identity

NPI1184794745
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. MARC A PROVENCHERCredential: O.D.
Location Address4050 S TIMBERLINE RD UNIT 120Fort Collins, CO 80525-6023
Mailing Address4050 S Timberline Rd Unit 120Fort Collins, CO 80525-6023 · (970) 282-8888 · Fax (970) 282-8484
Phone(970) 282-8888
Fax(970) 282-8484
Sole ProprietorNo
Enumeration DateNovember 9, 2006
Last NPPES UpdateNovember 2, 2022
NPPES CertifiedNovember 2, 2022
✔ NPI 1184794745 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in CO · 2025
Definition
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 education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Also ListedOptometrist · Corneal and Contact ManagementTaxonomy 152WC0802X · License 209T (WY), 2025 (CO)
4050 S TIMBERLINE RD UNIT 120, Fort Collins, CO 80525
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Secondary Practice Location 1

Location 1114 14th St SWLoveland, CO 80537-6341 · Phone (970) 587-3937 · Fax (970) 622-0648

Other Identifiers 1

Other1659005387Type 2 Npi

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marc Provencher's NPI number?

The NPI number for Marc Provencher is 1184794745. It was assigned to this individual provider in the NPPES registry on November 9, 2006.

Where is Marc Provencher located?

Marc Provencher practices at 4050 S Timberline Rd Unit 120, Fort Collins, CO 80525. The listed phone number is (970) 282-8888.

What is Marc Provencher's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

When was this NPI record last updated?

The NPPES record for Marc Provencher was last updated on November 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.