Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. MARK A. LATTA, O.D.

Active

MR. MARK A. LATTA, O.D. is a Optometrist healthcare provider located in FORT DEFIANCE, Arizona. NPI 1609865872 is currently active in the NPPES registry. Verify at CMS.

Optometrist · FORT DEFIANCE, AZ

Registration Details

NPI Number: 1609865872
Provider Type: Individual
Gender: Male
NPI Issued: Oct 19, 2005 (20.782177060333 yrs)
Last Updated: Jun 13, 2019
License: 2728TG (TX)

Practice Information

Address: CORNER OF ROUTE N12 AND N7

FORT DEFIANCE, AZ, 86504
Browse AZ providers · Browse ZIP 86504
Phone: 9287298925
Primary Specialty: Optometrist
152W00000X

Other Optometrist Providers in FORT DEFIANCE, AZ

Name	Credential	NPI
DR. DEREK JOSEPH MELTON	O.D.	1922058429
DR. RICARDO RAUL SALVAT	O.D.	1376598706
DR. MELISSA MARIE WALTERS	OD	1760410807
DR. DAVID HENRY BIBERDORF	OD	1518045921
DR. MITCHELL MARK NASS	O.D.	1609936558
DR. DUANE D SMITH	O.D.	1699835272

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.