DR. MARK LAWRENCE JAFFE (NPI# 1093717373) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093717373 |
| Entity Type | Individual |
| Full Name | DR. MARK LAWRENCE JAFFE |
| Credential | O.D. |
| Practice Address |
6666 W Peoria Ave Ste 109 Glendale AZ 85302-7032 |
| Mailing Address |
6404 W Wethersfield Rd Glendale AZ 85304-1630 |
| Practice Telephone | 6239798876 |
| Practice Fax Number | 6239792811 |
| Mailing Telephone | 6238788538 |
| Mailing Fax Number | 6238788538 |
| Enumeration Date | 2005-06-01 |
| Last Update Date | 2008-01-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 114 | AZ | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | RAIL ROAD MEDICARE | P00360908 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730160615 | Mark Jaffe | Internal Medicine | 9900 Stirling Rd Ste 102, Hollywood, FL 33024-8043 | 2005-11-08 |
| 1710980982 | Mark A Jaffe | Podiatrist | 15050 W. Tetherclift Street, Davie, FL 33331 | 2005-05-23 |
| 1609205558 | Mark H Jaffe | Dentist | 375 S Washington Ave, Bergenfield, NJ 07621-4323 | 2013-11-01 |
| 1477763472 | Mark Evan Jaffe | Psychiatry & Neurology | 9201 W Sunset Blvd, Suite #718, West Hollywood, CA 90069-3701 | 2007-05-22 |
| 1629089107 | Mark Jonathan Jaffe | Dermatology | 6410 Rockledge Drive, Suite 402, Bethesda, MD 20817 | 2006-08-10 |
| 1588687891 | Mark H Jaffe | Radiology | 119 Oakfield Dr, Brandon, FL 33511-5779 | 2006-07-26 |
| 1841271160 | Mark Robert Jaffe | Specialist | 5744 Lbj Fwy, Suite 180, Dallas, TX 75240-6322 | 2005-11-14 |
| Street Address |
6666 W PEORIA AVE STE 109 |
| City | GLENDALE |
| State | AZ |
| Zip Code | 85302-7032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427414341 | Familt& Esthetic Dentistry | Clinic/Center | 6666 W Peoria Ave, Glendale, AZ 85302-7014 | 2016-01-07 |
| 1164805081 | 20/20 Image Glendale Plc | Optometrist | 6666 W Peoria Ave, Suite 108-109, Glendale, AZ 85302-7014 | 2015-07-09 |
| 1215157482 | Vincent Raymond Dancel | Contractor | 6666 W Peoria Ave, Suite 125, Glendale, AZ 85302-7014 | 2007-04-27 |
| 1902958135 | Dr. Mark L. Jaffe | Optometrist | 6666 W Peoria Ave, Suite 109, Glendale, AZ 85302-7014 | 2007-01-17 |
| 1952466864 | Daniel E Logan | Chiropractor | 6666 W Peoria Ave, 114, Glendale, AZ 85302-7014 | 2006-12-22 |
| 1699757922 | Robert J. Clanton | Optometrist | 6666 W Peoria Ave, Ste. 109, Glendale, AZ 85302-7014 | 2005-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235736190 | Tyler Davis LLC | Psychologist | 8607 N 59th Ave Suite C-6, Glendale, AZ 85302 | 2020-10-05 |
| 1679098420 | Sidney M Kingery | Physical Therapist | 5810 W Peoria Ave, Glendale, AZ 85302 | 2017-08-12 |
| 1255877825 | Sonoran Sky Community Services | Community Based Residential Treatment Facility, Mental Illness | 5651 W. Harmont Dr, Glendale, AZ 85302 | 2017-01-06 |
| 1346696382 | Megan Mari Byrne | Chiropractor | 8425 N 61st Dr., Glendale, AZ 85302 | 2016-05-09 |
| 1558742007 | Farzan Mojgani | Dentist | 5929 W. Peoria Ave. Suite 101, Glendale, AZ 85302 | 2015-06-10 |
| 1255757308 | Glendale Modern Dentistry, LLP | Dentist | 5143 West Olive Ave, Suite 140, Glendale, AZ 85302 | 2014-03-13 |
| 1518391341 | Crystal Nicole-marie Whitman | Physical Therapy Assistant | 5411 W. Cinnabar Ave., Glendale, AZ 85302 | 2013-08-28 |
| 1013349570 | A New Leaf | Clinic/Center | 8581 N 61st Ave, Building A, Suite 101-102, Glendale, AZ 85302 | 2013-08-06 |
| 1255602439 | Alicia S Fennemore | Specialist/Technologist | 352 E. Camelback Rd., Suite 102, Phoenix, AZ 85302 | 2012-01-20 |
| 1639306731 | Total Medical Care, LLC | Clinic/Center | 5048 W. Northern Avenue, Suite 105, Glendale, AZ 85302 | 2009-06-16 |
| Find all providers in zip 85302 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| 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. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326653528 | Kelsey Harraghy | Optometrist | 7700 W Arrowhead Towne Ctr Ste 1136, Glendale, AZ 85308-0926 | 2020-09-14 |
| 1205394533 | Ani Grigoryan | Optometrist | 1577 E Chevy Chase Dr Ste 120, Glendale, CA 91206-4193 | 2019-03-05 |
| 1578041356 | Lilit Javadian | Optometrist | 413 E Glenoaks Blvd Ste B, Glendale, CA 91207-2013 | 2018-08-02 |
| 1063999027 | Clarissa Orzell | Optometrist | 7700 W Arrowhead Towne Ctr Ste 2130, Glendale, AZ 85308-0929 | 2018-07-23 |
| 1518443472 | Zachary William Miller | Optometrist | 5707 W Northern Ave Ste 106, Glendale, AZ 85301-1355 | 2018-07-13 |
| 1568958734 | Dominic Rentz | Optometrist | 14185 W Falcon St, Glendale, AZ 85309-1601 | 2018-07-10 |
| 1659867901 | Shakeh Bagdassar Eye To Eye Optometry | Optometrist | 1101 N Pacific Ave Ste 105, Glendale, CA 91202-4314 | 2018-07-10 |
| 1215421573 | Shihchun Tai | Optometrist | 8016 Cooper Ave # 3, Glendale, NY 11385-7741 | 2018-06-20 |
| 1568977189 | West Point Optical Group | Optometrist | 7870 W Bell Rd, Glendale, AZ 85308-8621 | 2017-12-05 |
| 1548779952 | Vahe Arutyunyan | Optometrist | 204 E Maple St, Glendale, CA 91205-2110 | 2017-09-28 |
| Find all providers in GLENDALE | ||||
Please comment or provide details below to improve the information on DR. MARK LAWRENCE JAFFE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.