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Organization

MARCIANO FAMILY OPTOMETRIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARK THOMAS MARCIANO O.D. (OPTOMETRIST-OWNER)
(561) 242-1200
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC 003248
FL

Other

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
Enumeration date
11/22/2006
Last updated
03/27/2015
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