# MARCIANO FAMILY OPTOMETRIC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447325568
- **Authorized official:** DR. MARK THOMAS MARCIANO O.D. (OPTOMETRIST-OWNER)
- **Authorized official phone:** (561) 242-1200

## Contact information

- **Practice address:** 1788 N. JOG RD., WEST PALM BEACH, FL 33411-0000
- **Practice address phone:** (561) 242-1200
- **Practice address fax:** (561) 242-1291
- **Mailing address:** 1788 N. JOG RD., WEST PALM BEACH, FL 33411-0000
- **Mailing address phone:** (561) 242-1200
- **Mailing address fax:** (561) 242-1291

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | OPC 003248 | FL | Yes |

## Other

- **Enumeration date:** 11/22/2006
- **Last updated:** 03/27/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 002368580 | UNITED HEALTHCARE | FL |
| 01 | — | 20844 | BLUE CROSS & BLUE SHIELD | FL |
| 01 | — | 5446497 | CIGNA | FL |
| 05 | — | M620930100 | — | FL |