KOKOPELLI EYE CARE PC; NPI #1114140019

Contact Information

KOKOPELLI EYE CARE PC

412 WHIPPLE ST
PRESCOTT, AZ 86301-1712

Phone: 928-771-9000
Fax: 928-771-9460
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Ambulatory Surgical	261QA1903X	49	Ambulatory Surgical Center

Indicates primary specialty

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NPI Profile & details for KOKOPELLI EYE CARE PC

NPI # 1114140019

LBN Legal business name KOKOPELLI EYE CARE PC

Authorized official MICHAEL HAM - (PRESIDENT)

Entity Organization

Organization subpart ¹ Yes

Enumeration date 04/10/2007

Last updated 11/16/2007 - About 19 years ago

Identifiers

License #

OSC3634

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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KOKOPELLI EYE CARE PC

Contact Information

Specialty

Ambulatory Surgical

NPI Profile & details for KOKOPELLI EYE CARE PC

Reviews for KOKOPELLI EYE CARE PC