NPI 1669975157

Kokopelli Eye Care PC

Organisation Durable Medical Equipment & Medical Supplies Fountain Hills, AZ

Practice location

Address: 16605 E Palisades Blvd STE 152, Fountain Hills, AZ 85268-3717
Phone: (844) 565-6393
Fax: (844) 329-5656
Mailing address: 2820 N Glassford Hill Rd, Prescott Valley, AZ 86314-1242

Authorised official

Name: Michael Lee Ham
Title: President
Phone: (928) 775-5606

Registered specialties

Durable Medical Equipment & Medical Supplies Primary

Suppliers Taxonomy 332B00000X Licence 26357 (AZ)

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Registry record

NPI: 1669975157
Entity type: Organization
NPI issued: 12 Mar 2018
Record last updated: 5 Sep 2019

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.