Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARK LAWRENCE JAFFE, O.D.
ActiveDR. MARK LAWRENCE JAFFE, O.D. is a Optometrist healthcare provider located in GLENDALE, Arizona. NPI 1093717373 is currently active in the NPPES registry. Verify at CMS.
Optometrist · GLENDALE, AZ
Registration Details
- NPI Number
- 1093717373
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 1, 2005 (21.168332034615 yrs)
- Last Updated
- Jan 2, 2008
- License
-
114 (AZ)
Practice Information
- Address
-
6666 W PEORIA AVESTE 109GLENDALE, AZ, 853027032Browse AZ providers · Browse ZIP 85302
- Phone
- 6239798876
- Fax
- 6239792811
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in GLENDALE, AZ
| Name | Credential | NPI |
|---|---|---|
| GILBERT G. WONG | O.D. | 1255335832 |
| DR. BRIAN A MACH | OD | 1093711939 |
| DR. TINA KASTLER | O.D. | 1376535187 |
| DR. ROBIN BLANK | O.D. | 1962499434 |
| DR. JAMES POLKABLA | O.D. | 1467440818 |
| DR. ERIC RUTA | O.D. | 1639167083 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.