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

2820 N Glassford Hill Rd
Prescott Valley, AZ 86314-1242

Phone

(928) 771-9000

Fax

(928) 759-9902

NPI assigned

Nov 14, 2017

Organization subpart

No

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

Authorized official

Name

Laura L Crain

Title

Adminstrator

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": "1510617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510617600000",
    "number": "1750894655",
    "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": "2820 N GLASSFORD HILL RD",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863141242",
            "telephone_number": "928-771-9000",
            "fax_number": "928-759-9902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOKOPELLI EYE CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-14",
        "last_updated": "2017-11-14",
        "status": "A",
        "authorized_official_last_name": "CRAIN",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINSTRATOR",
        "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"
        }
    ]
}

• Carrie Kinsey, CPM
• Roberta Knowles
• Hillary Koh, DDS
• Kokopelli Eye Care Optical Dept
• Kokopelli Eye Care PC
• Kokopelli Eye Care Surgery Center
• Taja Kolack, RN
• Jeffrey Ryan Kolb, PHARMD
• Kelly Kolp, RD
• Christopher James Kooken, BSN, RN

• Eyewear Supplier in Prescott Valley, AZ
• Providers in Prescott Valley, AZ by specialty
• Eyewear Supplier in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2017; 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.