Kokopelli Eye Care PC

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

KOKOPELLI EYE CARE PC

Doing business as

Kokopelli Eye Institute

Practice address

15033 W Bell Rd Ste 150
Surprise, AZ 85374-3262

Phone

(844) 565-6393

NPI assigned

Oct 21, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Laura Crain

Title

Administrator

Phone

(928) 308-5109

Specialties & licenses 1

Addresses

Other names 1

• Kokopelli Eye Institute Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1477008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477008000000",
    "number": "1184175416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2820 N GLASSFORD HILL RD",
            "address_2": "STE 101",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863141242",
            "telephone_number": "928-771-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15033 W BELL RD STE 150",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853743262",
            "telephone_number": "844-565-6393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOKOPELLI EYE CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-21",
        "last_updated": "2016-10-21",
        "status": "A",
        "authorized_official_last_name": "CRAIN",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "928-308-5109"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kokopelli Eye Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tina M Knezevic, PAC
• Karli Jo Knight, COTA/L
• James Ryan Knori
• Anna Theresa Koester, FNP-BC
• Samantha Erin Kogler, OTD
• Jaiden Kooiman
• Angel Koontz, SLP
• Heather Koslow
• Kimberly Kostiw
• Micaela Kosty, OTD

• Eyewear Supplier in Surprise, AZ
• Providers in Surprise, AZ by specialty
• Eyewear Supplier in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.