Kokopelli Eye Care PC
Durable Medical Equipment & Medical Supplies in Fountain Hills, AZ. Organization (NPI-2).
NPI number1669975157
StatusActive
Last updated in NPPESSep 5, 2019
Details
- NPI
- 1669975157
- Entity type
- Organization (NPI-2)
- Legal business name
- Kokopelli Eye Care PC
- Organization subpart
- No
- Enumeration date
- Mar 12, 2018
- Last updated
- Sep 5, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | 26357 | AZ | Yes |
Other names
- Kokopelli Eye Institute (Doing Business As)
Practice location
16605 E Palisades Blvd Ste 152Fountain Hills, AZ 85268-3717
Phone 844-565-6393 · Fax 844-329-5656
Mailing address
2820 N Glassford Hill RdPrescott Valley, AZ 86314-1242
Phone 928-771-9000 · Fax 928-759-9902
Other practice locations
16425 E Palisades Blvd Ste 102
Fountain Hills, AZ 85268-3754
Fountain Hills, AZ 85268-3754
Phone 844-565-6393 · Fax 844-329-5656
Authorized official
Michael Lee Ham
President
9287755606
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