Mark Latta, O.D

NPI: 1609865872

Mark Latta, O.D

Q: What is Mark Latta's NPI number?

Mark Latta's NPI number is 1609865872, a unique 10-digit identifier issued by CMS.

Q: What does Mark Latta specialize in?

Mark Latta specializes in Optometry, taxonomy code 152W00000X.

Q: Where does Mark Latta practice?

Mark Latta practices in Fort Defiance, AZ 86504.

Q: When was Mark Latta's NPI issued?

Mark Latta's NPI was issued on October 19, 2005.

Q: What is Mark Latta's provider type?

Mark Latta is an Individual Provider under CMS NPI Type 1.

ActiveIndividual ProviderOptometry

NPI issued: October 19, 2005

Quick Facts

NPI Number

1609865872

TypeIndividual

StatusActive

SpecialtyOptometry

Taxonomy152W00000X — Optometry

Phone

(928) 729-8925

StateAZ

NPI Validation Status: Verified

✅Valid 10-digit NPI number (1609865872)

✅Active status confirmed

✅Verified by CMS NPPES Registry

✅HIPAA compliant identifier

✅Enumeration date on file (October 19, 2005)

Data source: CMS NPPES

Provider Overview

MARK LATTA, O.D is a Optometry provider based in Fort Defiance, AZ who has been registered with CMS since 2005. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1609865872

Provider TypeIndividual Provider

GenderMale

CredentialO.D

StatusActive

Enumeration DateOctober 19, 2005

Practice Location

CityFort Defiance

StateAZ

ZIP Code86504

Phone(928) 729-8925

Specialties & Licenses

★ Primary

SpecialtyOptometry

Taxonomy Code152W00000X

License StateAZ

Mailing Address

CityFort Defiance

StateAZ

ZIP Code86504

Phone(928) 729-8925

Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1609865872 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1609865872for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1609865872 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Optometry

Specialists in Optometry provide expert clinical care within their specific domain, focusing on the diagnosis, treatment, and management of conditions relevant to their field of practice.

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