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:
Authorized official contact:
Name: Jaffe, Mark Lawrence Doctor of Optometry (OD)
Phone: (623) 979-8876
Health care specialties
Specialty | Code | License # | 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 4 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1902958135 | NPPES |
Arizona | Other | 114 | STATE OPTOMETRIC LICENSE |
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