Mr. Mark A. Latta is a Fort Defiance, Arizona based male Optometrist who is specialized in Optometry. Active license number of Mr. Mark A. Latta is 2728TG for Optometry in Texas. Mr. Mark A. Latta 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. He 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. He is a eye health care professional who is state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Complete Profile:
Mr. Mark A. Latta speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Optometry
Credentials:
O.D.
Gender:
Male
Practice Address:
Corner Of Route N12 And N7, Fort Defiance, Arizona, 86504
Phone:
928-729-8925
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1609865872
NPI Enumeration Date:
19 Oct, 2005
NPI Last Update On:
13 Jun, 2019
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Mark A. Latta are as mentioned below.
License Number
Specialization
State
Status
2728TG
Optometry
Texas
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Mr. Mark A. Latta such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
410039483
Other
Texas
RAILROAD MEDICARE
89X292
Other
Texas
BC/BS
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
4140 Marla Dr Ne, Albuquerque, New Mexico
Zip:
87109-1983
Phone Number:
--
Fax Number:
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Patients can reach Mr. Mark A. Latta at Corner Of Route N12 And N7, Fort Defiance, Arizona or can call to book an appointment on 928-729-8925. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.