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Mark Latta, O.D.
NPI 1609865872 · Optometrist · Fort Defiance, AZ
Mark Latta, O.D. is a Optometrist provider in Fort Defiance, AZ (NPI 1609865872).
Provider details
- NPI number
- 1609865872
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- O.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 2728TG (TX)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Corner of Route N12 and N7
Fort Defiance, AZ 86504
Phone: (928) 729-8925
Approximate (ZIP-level) locationGet directions
Mailing address
4140 Marla Dr Ne
Albuquerque, NM 87109-1983
Registry dates
- Enumerated
- 2005-10-19
- Last updated
- 2019-06-13
Frequently asked questions
- What is Mark Latta's NPI number?
- Mark Latta's National Provider Identifier (NPI) is 1609865872, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mark Latta's specialty?
- Mark Latta is listed in the NPPES registry with a primary specialty of Optometrist (Eye and Vision Services Providers).
- Where is Mark Latta located?
- Mark Latta's practice location on file with NPPES is Corner of Route N12 and N7, Fort Defiance, AZ 86504.
- What is Mark Latta's phone number?
- The practice phone number listed in the NPPES registry for Mark Latta is (928) 729-8925.
- Is Mark Latta's NPI active?
- Yes — Mark Latta's NPI (1609865872) is active in the NPPES registry as of the last update on 2019-06-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.