MEDICARE: DR. MARK LAWRENCE JAFFE O.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	114	AZ

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00360908	OTHER	AZ	RAIL ROAD MEDICARE

General Provider Information

NPI Number	:	1093717373
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARK LAWRENCE JAFFE O.D.

Provider Business Mailing Address
First Line	:	6404 W WETHERSFIELD RD
Second Line	:
City	:	GLENDALE
State	:	AZ
Zip	:	85304-1630
Country	:	US
Telephone Number	:	623-878-8538
Fax Number	:	623-878-8538

Provider Business Practice Location Address
First Line	:	6666 W PEORIA AVE
Second Line	:	STE 109
City	:	GLENDALE
State	:	AZ
Zip	:	85302-7032
Country	:	US
Telephone Number	:	623-979-8876
Fax Number	:	623-979-2811

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/01/2005
Last Update Date	:	01/02/2008

Similar Medicare Providers

1043248834 — GREGORY F GARGIULO D.O.
Practice Location Address:

7032 W GREENBRIAR DR , 9TH FLOOR
GLENDALE, AZ
85308-8414

Practice Phone: 623-486-1782
Practice Fax: 623-486-1782

1679457097 — DUYEN HUA
Practice Location Address:

5116 W OLIVE AVE
GLENDALE, AZ
85302-4209

Practice Phone: 623-937-4771
Practice Fax:

1588667661 — MR. CRAIG BAILEY PT, DPT
Practice Location Address:

8811 N 51ST AVE , STE 102
GLENDALE, AZ
85302-4949

Practice Phone: 623-915-2726
Practice Fax: 623-915-2728

1053314138 — MR. ERIC S PERCY-FINE PT
Practice Location Address:

8811 N 51ST AVE , STE 102
GLENDALE, AZ
85302-4949

Practice Phone: 623-915-2726
Practice Fax: 623-915-2728

1831192905 — MS. SARA J HOMAN PT
Practice Location Address:

8811 N 51ST AVE , STE 102
GLENDALE, AZ
85302-4949

Practice Phone: 623-915-2726
Practice Fax: 623-915-2728

1114920659 — DEBBY BAKER D.C.
Practice Location Address:

5128 W PEORIA AVE
GLENDALE, AZ
85302-1618

Practice Phone: 623-878-0600
Practice Fax: 623-878-0623

Directions to “ DR. MARK LAWRENCE JAFFE O.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.