Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Marc A Provencher, OD

Individual provider Corneal and Contact Management Optometrist · NPI 1184794745

Dr. Marc A Provencher, OD is a Corneal and Contact Management Optometrist in Fort Collins, Colorado. Works from 2 locations. Licensed in Colorado and Wyoming.

Licensed in
CO, WY
In the registry since
2006
Specialties on file
3
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

4050 S Timberline Rd Unit 120
Fort Collins, CO 80525-6023
Phone: (970) 282-8888
Fax: (970) 282-8484
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

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

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 2025 (CO)
Corneal and Contact Management Optometrist Taxonomy 152WC0802X · Licence 209T (WY)
Corneal and Contact Management Optometrist Taxonomy 152WC0802X · Licence 2025 (CO)

Record details

NPI number1184794745
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedNovember 9, 2006
Last updated in NPPESNovember 2, 2022
Certification dateNovember 2, 2022

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