DR. MARK LAWRENCE JAFFE O.D.
NPI 1093717373
Optometrist in Glendale, AZ

Active since June 01, 2005
6666 W PEORIA AVE, STE 109, GLENDALE, AZ 85302(623) 979-8876(623) 979-2811 Get Directions Write a Review

NPPES record last updated: January 2, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Male
  • Optometrist

About MARK JAFFE

This page provides the complete NPI Profile along with additional information for Mark Jaffe, a provider established in Glendale, Arizona with a medical specialization in Optometrist. The healthcare provider is registered in the NPI registry with number 1093717373 assigned on June 2005. The practitioner's primary taxonomy code is 152W00000X with license number 114 (AZ). The provider is registered as an individual and his NPI record was last updated 19 years ago.

NPI
1093717373 Verify this NPI
Provider Name
DR. MARK LAWRENCE JAFFE O.D.
Gender
Male
Entity Type
Individual
Location Address
6666 W PEORIA AVE STE 109 GLENDALE, AZ 85302
Location Phone
(623) 979-8876
Location Fax
(623) 979-2811
Mailing Address
6404 W WETHERSFIELD RD GLENDALE, AZ 85304
Mailing Phone
(623) 878-8538
Mailing Fax
(623) 878-8538
Is Sole Proprietor?
No
Enumeration Date
06-01-2005
Last Update Date
01-02-2008
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Optometrist

Taxonomy Code
152W00000X
Type
Eye and Vision Services Providers
License No.
114
License State
AZ
Taxonomy Description
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
T41774MEDICARE UPIN (02)AZ 
P00360908OTHER (01)AZRAIL ROAD MEDICARE

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Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Chiropractor
6666 W PEORIA AVE, 114
GLENDALE, AZ 85302
Contractor
6666 W PEORIA AVE, SUITE 125
GLENDALE, AZ 85302
Optometrist
6666 W PEORIA AVE, SUITE 108-109
GLENDALE, AZ 85302
Clinic/Center (Dental)
6666 W PEORIA AVE
GLENDALE, AZ 85302
Optometrist
6666 W PEORIA AVE, SUITE 109
GLENDALE, AZ 85302

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1093717373, enumerated as an "individual" on June 01, 2005.

The provider is located at 6666 W PEORIA AVE STE 109 GLENDALE, AZ 85302 and the phone number is (623) 979-8876.

Optometrist with taxonomy code 152W00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.