Individual
DR. CARL R. MARCUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD00000853
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
227506100000
PREMERA BLUE CROSS
WA
05
—
2567402
—
WA
01
—
911348
EYEMED
WA
01
—
93422275060001
PREMERA BLUE CROSS NATACT
WA
01
—
MA0876
REGENCE BLUE SHIELD
WA
01
—
WA0514
NORTHWEST BENEFIT NETWORK
WA
Enumeration date
05/10/2007
Last updated
01/04/2011
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