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KOKOPELLI EYE CARE PC NPI 1174026546


NPI Information

NPI: 1174026546
Provider Name: KOKOPELLI EYE CARE PC

Doing Business As: KOKOPELLI EYE INSTITUTE

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
25 W YAVAPAI ST
WICKENBURG, AZ
ZIP 85390
Phone: (844) 565-6393
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KOKOPELLI EYE CARE PC is a durable medical equipment medical supplies in Wickenburg, AZ. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. KOKOPELLI EYE CARE PC NPI is 1174026546. The provider is registered as an organization entity type.
The provider Is Doing Business As Kokopelli Eye Institute.

The provider's business location address is:

25 W YAVAPAI ST
WICKENBURG, AZ
ZIP 85390-280
Phone: (844) 565-6393
Fax: (844) 329-5656

The provider's authorized official is Michael Lee Ham .
The authorized official title is President and has the following contact phone number (928) 775-5606.

The enumeration date for this NPI number is 3/13/2018 and was last updated on 3/13/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical Supplies26357ARIZONAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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