Dr. Mark L. Jaffe

LBN: Dr. Mark L. Jaffe
Dr. Mark L. Jaffe is an health care organization with primary practice located at 6666 W Peoria Ave Suite 109, Glendale AZ 85302-7014. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Dr. Mark L. Jaffe can be contacted via phone (623) 979-8876, or through Jaffe, Mark Lawrence via phone (623) 979-8876.

Contact Information

Primary practice address
6666 W Peoria Ave Suite 109 Glendale AZ 85302-7014
Phone: (623) 979-8876
Fax: (623) 979-2811
Website:
Map and Directions
Authorized official contact:
Name: Jaffe, Mark Lawrence Doctor of Optometry (OD)
Phone: (623) 979-8876

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 114 Arizona

Profile Details

NPI number 1902958135
LBN Legal business name Dr. Mark L. Jaffe
DBA Doing business as
Authorized official Jaffe, Mark Lawrence Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 17th, 2007
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902958135 NPPES
Arizona Other 114 STATE OPTOMETRIC LICENSE

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