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MR. MARK A. LATTA O.D.
NPI 1609865872
Optometrist in Fort Defiance, AZ

Active since October 19, 2005
CORNER OF ROUTE N12 AND N7, FORT DEFIANCE, AZ 86504(928) 729-8925 Get Directions Write a Review

NPPES record last updated: June 13, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Mark A. Latta O.d. NPPES

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

MR. MARK A. LATTA O.D. (NPI 1609865872) is an individual optometrist in Fort Defiance, Arizona, licensed in Texas (2728TG) and active in the NPI registry since October 2005.

NPPES Registry Identity

NPI1609865872
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameMR. MARK A. LATTACredential: O.D.
Location AddressCORNER OF ROUTE N12 AND N7Fort Defiance, AZ 86504
Mailing Address4140 Marla Dr NeAlbuquerque, NM 87109-1983
Phone(928) 729-8925
Sole ProprietorNo
Enumeration DateOctober 19, 2005
Last NPPES UpdateJune 13, 2019
✔ NPI 1609865872 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 TX · 2728TG
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.
CORNER OF ROUTE N12 AND N7, Fort Defiance, AZ 86504
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Other Identifiers 2

Other410039483TX · Railroad Medicare
Other89X292TX · Bc/bs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan, Ambetter of Oklahoma.Insurance ›

Other Providers at the Same Location NPPES 20

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

DR. ROMULO LAURETA PARUNGAO M.D.
Emergency Medicine
CORNER OF ROUTE N12 AND N7
FORT DEFIANCE, AZ 86504
Apache County (928) 729-8600
JAY S GUIKEMA FNP
Nurse Practitioner (Family)
CORNER OF ROUTE N12 AND N7
FORT DEFIANCE, AZ 86504
Apache County (928) 729-8000
MARIBEL PASTRAN RD, CD
Dietitian, Registered
CORNER OF ROUTE N12 AND N7
FORT DEFIANCE, AZ 86504
Apache County (928) 729-8000
SARAH R WILLIAMS PT
Physical Therapist
CORNER OF ROUTE N12 AND N7
FORT DEFIANCE, AZ 86504
Apache County (928) 729-8000
JOHN NORBERT
Family Medicine
CORNER OF ROUTE N12 AND N7
FORT DEFIANCE, AZ 86504
Apache County (928) 729-8000
DR. LINDA BROWN TRUDEL MD
Family Medicine
CORNER OF ROUTE N12 AND N7
FORT DEFIANCE, AZ 86504
Apache County (928) 729-8000
DR. SAMMIE MICHEAL BIA III PHARMD.
Pharmacist
CORNER OF ROUTE N12 AND N7
FORT DEFIANCE, AZ 86504
Apache County (928) 729-8000
DR. WALTER MAX ADAM MD
Family Medicine
CORNER OF ROUTE N12 AND N7
FORT DEFIANCE, AZ 86504
Apache County (928) 729-8000

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 Latta's NPI number?

The NPI number for Mark Latta is 1609865872. It was assigned to this individual provider in the NPPES registry on October 19, 2005.

Where is Mark Latta located?

Mark Latta practices at Corner Of Route N12 And N7, Fort Defiance, AZ 86504. The listed phone number is (928) 729-8925.

What is Mark Latta's specialty?

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

What insurance does Mark Latta accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Mark Latta as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mark Latta was last updated on June 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.