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Deactivated NPI 1508853110 Deactivated / Inactive NPI Male Practitioner

Dr. Marc Jay Koblick , MD

Ophthalmology • Daytona Beach, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Marc Koblick has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 29, 2005
NPI Deactivation Date October 08, 2019
Total Practice Duration ~14 Years of Practice (2005 – 2019)

Professional Overview & Biography Verified Profile Summary

Dr. Marc Koblick, MD was a registered Ophthalmology practicing in Daytona Beach, FL. Throughout an active medical career spanning 14 years, Dr. Koblick provided care at the practice location at 350 N CLYDE MORRIS BLVD until profile deactivation on 2019-10-08.

Practice Location & Contact Primary Location

Practice Address

350 N Clyde Morris Blvd

Daytona Beach, FL 321142733

Telephone 3866767103
Fax 3866767186
Associated Practice Facility / Clinic
🏢 Florida Health Care Plans Inc Facility NPI 1841322005

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Daytona Beach, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 29.9 Yrs
State Avg: 28.9 Yrs
Regional Practice Density
16 Specialists

Practicing in Daytona Beach, FL (1686 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License FL ME57031

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
NPI 1013980655

Doctor of Medicine (M.D.)

Dr. Todd Geis , MD

Ophthalmology

NPI 1093780215

Doctor of Medicine (M.D.)

NPI 1427373075

Doctor of Medicine (M.D.)

NPI 1710946181

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated October 08, 2019

Record deactivated on October 08, 2019

NPI Profile Active July 12, 2013

NPI status registered as active in NPPES database

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Updated Practice Location July 12, 2013

Registered at 350 N CLYDE MORRIS BLVD, DAYTONA BEACH, FL 321142733 (Tel: 3866767103)

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Updated Business Mailing Address July 12, 2013

Registered at P.O. BOX 9671, DAYTONA BEACH, FL 321209671 (Tel: 3866767130)

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Provider Name / Credentials Updated July 12, 2013

Recorded as MARC KOBLICK, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 12, 2013

Ophthalmology (License #ME57031 in FL)

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Initial NPI Registration & Enumeration September 29, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1508853110
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 29, 2005
Last Update: July 12, 2013
Deactivation Date: October 08, 2019

Mailing Address

P.o. Box 9671

Daytona Beach, FL 321209671

Phone: 3866767130

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.