National Provider Identifier
Marc J. Demarco
Marc J. Demarco is listed in the NPPES registry with a primary specialty of Optician in Fairport, NY and a listed phone number of (585) 586-9900.
Profile Overview
- NPI
- 1134160237
- Provider Type
- Individual
- Primary Specialty
- Optician
- Enumeration Date
- June 09, 2006
- Last Updated
- March 04, 2009
Practice Location
- 1157 Fairport RD.
- Suite 201
- Fairport, NY 14450-1237
Phone: (585) 586-9900
Specialties
- Optician (156FX1800X)
Full Record
- NPI
- 1134160237
- Entity Type
- Individual
- Last Name
- Demarco
- First Name
- Marc
- Middle Name
- J.
- Name Prefix
- Mr.
- Mailing Street Address
- 1157 Fairport RD.
- Mailing Address Line 2
- Suite 201
- Mailing City
- Fairport
- Mailing State
- NY
- Mailing ZIP Code
- 14450-1237
- Mailing Country
- US
- Mailing Phone
- (585) 586-9900
- Mailing Fax
- (585) 586-7700
- Practice Street Address
- 1157 Fairport RD.
- Practice Address Line 2
- Suite 201
- Practice City
- Fairport
- Practice State
- NY
- Practice ZIP Code
- 14450-1237
- Practice Country
- US
- Practice Phone
- (585) 586-9900
- Practice Fax
- (585) 586-7700
- Enumeration Date
- June 09, 2006
- Last Updated
- March 04, 2009
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Optician (156FX1800X)
- Other Identifiers
- 260033487 (NY, Tax I.D.), 8859 (NY, Excellus)