NPI 1043477847

Kokopelli Eye Care Optical Dept

Organisation Optician Prescott Valley, AZ

Practice location

Address: 2820 N Glassford Hill Rd Suite 101, Prescott Valley, AZ 86314-1242
Phone: (928) 775-5606
Fax: (928) 772-4999

Authorised official

Name: Barbie Elias
Title: Administrator
Phone: (928) 775-5606

Registered specialties

Optician Primary

Eye and Vision Services Providers Taxonomy 156FX1800X Licence AZ26357 (AZ)

Other Technician/Technologist providers in Arizona →

Registry record

NPI: 1043477847
Entity type: Organization
NPI issued: 20 May 2008
Record last updated: 20 May 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.