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: August 16, 2026.

About Dr. Mark Lawrence Jaffe O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARK LAWRENCE JAFFE O.D. (NPI 1093717373) is an individual optometrist in Glendale, Arizona, licensed in Arizona (114) and active in the NPI registry since June 2005.

NPPES Registry Identity

NPI1093717373
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. MARK LAWRENCE JAFFECredential: O.D.
Location Address6666 W PEORIA AVE, STE 109Glendale, AZ 85302-7032
Mailing Address6404 W Wethersfield RdGlendale, AZ 85304-1630 · (623) 878-8538 · Fax (623) 878-8538
Fax(623) 979-2811
Sole ProprietorNo
Enumeration DateJune 1, 2005
Last NPPES UpdateJanuary 2, 2008
NPI 1093717373 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in AZ · 114
Definition
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.
6666 W PEORIA AVE, Glendale, AZ 85302

Other Identifiers 2

Medicare UPINT41774AZ
OtherP00360908AZ · Rail Road Medicare

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Jaffe's NPI number?

The NPI number for Mark Jaffe is 1093717373. It was assigned to this individual provider in the NPPES registry on June 1, 2005.

Where is Mark Jaffe located?

Mark Jaffe practices at 6666 W Peoria Ave Ste 109, Glendale, AZ 85302. The listed phone number is (623) 979-8876.

What is Mark Jaffe's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

When was this NPI record last updated?

The NPPES record for Mark Jaffe was last updated on January 2, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.