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

2403 N Stockton Hill Rd
Suite 1
Kingman, AZ 86401-4188

Phone

(844) 565-6393

Fax

(844) 329-5656

NPI assigned

Sep 28, 2016

Last updated

Sep 28, 2016By the provider in NPPES

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": "1475020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475020800000",
    "number": "1396294583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2820 N GLASSFORD HILL RD",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863141242",
            "telephone_number": "928-771-9000",
            "fax_number": "928-759-9902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2403 N STOCKTON HILL RD",
            "address_2": "SUITE 1",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864014188",
            "telephone_number": "844-565-6393",
            "fax_number": "844-329-5656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOKOPELLI EYE CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-28",
        "last_updated": "2016-09-28",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kokopelli Eye Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kingman Unified School District
• Kingman Unified School District #20
• Matthew Kirsch
• Waldemar Klimach, M.D.
• Sarah L Knievel, MD
• Jennifer Elizabeth Komosinski, PT, DPT
• Steven Korona, MSN, RN, PMHNP
• Michael A Kort, DDS
• Jacqueline Kremer, PA-C
• Krikor Krikorian, DO

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 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.