Organization
DR. MARK L. JAFFE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK LAWRENCE JAFFE O.D. (OWNER)
(623) 979-8876
Entity
Organization
Contact information
Practice address
6666 W PEORIA AVE, SUITE 109, GLENDALE, AZ 85302-7014
(623) 979-8876
(623) 979-2811
Mailing address
6666 W PEORIA AVE, SUITE 109, GLENDALE, AZ 85302-7014
(623) 979-8876
(623) 979-2811
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
114
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
114
STATE OPTOMETRIC LICENSE
AZ
Enumeration date
01/17/2007
Last updated
08/22/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up