| Entity Name: | MARC TESCHER, O.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 08 Aug 1972 (52 years ago) |
| Document Number: | 603689 |
| FEI/EIN Number | 591411285 |
| Address: | MARC TESCHER, 1825 NE 164 STREET, NORTH MIAMI BEACH, FL, 33162 |
| Mail Address: | MARC TESCHER, 3041 N. 34 Street, Hollywood, FL, 33021, US |
| ZIP code: | 33162 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1689858276 | 2007-12-19 | 2014-07-08 | 1825 NE 164TH ST, NORTH MIAMI BEACH, FL, 331624100, US | 1825 NE 164TH ST, NORTH MIAMI BEACH, FL, 331624100, US | |||||||||||||||||||||||
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| Phone | +1 305-945-7113 |
Authorized person
| Name | MARC TESCHER |
| Role | PRES |
| Phone | 3059457113 |
Taxonomy
| Taxonomy Code | 152W00000X - Optometrist |
| License Number | OPC2614 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 086906600 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| TESCHER MARC B | Agent | 1825 NE 164 STREET, NORTH MIAMI BEACH, FL, 33162 |
| Name | Role | Address |
|---|---|---|
| TESCHER MARC | President | 1825 NE 164 STREET, NO. MIAMI BEACH, FL, 33162 |
| Name | Role | Address |
|---|---|---|
| TESCHER MARC | Director | 1825 NE 164 STREET, NO. MIAMI BEACH, FL, 33162 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| NAME CHANGE AMENDMENT | 1996-08-16 | MARC TESCHER, O.D., P.A. | No data |
Date of last update: 03 Jan 2025
Sources: Florida Department of State
