Individual
DR. COLY D MARSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
7638 STONEBROOK PKWY, FRISCO, TX 75034-1003
(972) 712-1010
(972) 712-1011
Mailing address
7638 STONEBROOK PKWY, FRISCO, TX 75034-1003
(972) 712-1010
(972) 712-1011
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
05423TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00E41Y
GROUP MEDICARE PIN
TX
01
—
05423TG
TX OPTOMETRY BOARD
TX
01
—
1881686426
NPI
TX
01
—
1902852346
GROUP NPI
TX
01
—
83328E
BCBS ID NUMBER
TX
01
—
J0116737
DPS REGISTRATION
TX
Enumeration date
08/19/2005
Last updated
03/07/2023
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