Individual
DR. CARL R. MARCUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
36216 57TH AVE S, AUBURN, WA 98001-9307
(253) 735-6548
(253) 735-6548
Mailing address
PO BOX 232, MILTON, WA 98354-0232
(253) 735-6548
(253) 735-6548
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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