NPI 1184175416

Kokopelli Eye Care PC

Organisation Eyewear Supplier Surprise, AZ

Practice location

Address: 15033 W Bell Rd STE 150, Surprise, AZ 85374-3262
Phone: (844) 565-6393
Mailing address: 2820 N Glassford Hill Rd STE 101, Prescott Valley, AZ 86314-1242

Authorised official

Name: Laura Crain
Title: Administrator
Phone: (928) 308-5109

Registered specialties

Eyewear Supplier Primary

Suppliers Taxonomy 332H00000X

Other Eyewear Supplier providers in Arizona →

Registry record

NPI: 1184175416
Entity type: Organization
NPI issued: 21 Oct 2016
Record last updated: 21 Oct 2016

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.