Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Mark Lawrence Jaffe, OD

Individual provider Optometrist · NPI 1093717373

Dr. Mark Lawrence Jaffe, OD is an Optometrist in Glendale, Arizona. Licensed in Arizona. Registered with an NPI since 2005.

Licensed in
AZ
In the registry since
2005
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

6666 W Peoria Ave Ste 109
Glendale, AZ 85302-7032
Phone: (623) 979-8876
Fax: (623) 979-2811
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 114 (AZ)

Record details

NPI number1093717373
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedJune 1, 2005
Last updated in NPPESJanuary 2, 2008
Mailing address6404 W Wethersfield Rd, Glendale, AZ 85304-1630

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