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Contact Information

KOKOPELLI EYE CARE PC
2820 N GLASSFORD HILL RD
PRESCOTT VALLEY, AZ86314-1242
 Phone: 928-771-9000
 Fax: 928-759-9902
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Eyewear Supplier

332H00000X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for KOKOPELLI EYE CARE PC

NPI # 1750894655
LBN Legal business name KOKOPELLI EYE CARE PC
Authorized official LAURA CRAIN - (ADMINSTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 11/14/2017
Last updated 11/14/2017 - About 9 years ago
Identifiers n/a
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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