KOKOPELLI EYE CARE PC (NPI# 1184175416) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184175416 |
| Entity Type | Organization |
| Organization Name | KOKOPELLI EYE CARE PC |
| Other Organization Name | KOKOPELLI EYE INSTITUTE |
| Practice Address |
15033 W Bell Rd Ste 150 Surprise AZ 85374-3262 |
| Mailing Address |
2820 N Glassford Hill Rd Ste 101 Prescott Valley AZ 86314-1242 |
| Practice Telephone | 8445656393 |
| Mailing Telephone | 9287719000 |
| Enumeration Date | 2016-10-21 |
| Last Update Date | 2016-10-21 |
| Authorized Official Name | LAURA CRAIN (ADMINISTRATOR) |
| Authorized Official Telephone | 9283085109 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers |
| Other Name | Type Code |
|---|---|
| Kokopelli Eye Institute | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023663010 | Kokopelli Eye Care PC | Durable Medical Equipment & Medical Supplies | 9151 W Thunderbird Rd Ste 104, Peoria, AZ 85381-4906 | 2019-08-06 |
| 1619470085 | Kokopelli Eye Care PC | Durable Medical Equipment & Medical Supplies | 5140 W Peoria Ave Ste 116, Glendale, AZ 85302-1631 | 2018-03-13 |
| 1669975157 | Kokopelli Eye Care PC | Durable Medical Equipment & Medical Supplies | 16605 E Palisades Blvd Ste 152, Fountain Hills, AZ 85268-3717 | 2018-03-12 |
| 1396294583 | Kokopelli Eye Care PC | Eyewear Supplier (Equipment, not the service) | 2403 N Stockton Hill Rd, Suite 1, Kingman, AZ 86401-4188 | 2016-09-28 |
| 1114140019 | Kokopelli Eye Care PC | Clinic/Center | 412 Whipple St, Prescott, AZ 86301-1712 | 2007-04-10 |
| 1174026546 | Kokopelli Eye Care PC | Durable Medical Equipment & Medical Supplies | 25 W Yavapai St, Wickenburg, AZ 85390-3280 | 2018-03-13 |
| 1750894655 | Kokopelli Eye Care PC | Eyewear Supplier (Equipment, not the service) | 2820 N Glassford Hill Rd, Prescott Valley, AZ 86314-1242 | 2017-11-14 |
| 1841457819 | Kokopelli Eye Care PC | Durable Medical Equipment & Medical Supplies | 412 Whipple St, Prescott, AZ 86301-1712 | 2008-05-19 |
| 1528005444 | Kokopelli Eye Care PC | Specialist | 2820 N Glassford Hill Rd, Suite 101, Prescott Valley, AZ 86314-1242 | 2006-05-31 |
| Street Address |
15033 W BELL RD STE 150 |
| City | SURPRISE |
| State | AZ |
| Zip Code | 85374-3262 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225648801 | Jennilyn Joy Puhawan Cave | Emergency Medicine | 14440 W Tierra Buena Ln, Surprise, AZ 85374 | 2020-08-07 |
| 1912538497 | Dental Depot of Surprise, Pllc | Clinic/Center | 13828 W. Greenway Rd., Surprise, AZ 85374 | 2020-02-03 |
| 1447898622 | Vhs of Arrowhead, Inc. | General Acute Care Hospital | 16815 W. Bell Rd, Surprise, AZ 85374 | 2019-12-18 |
| 1073155834 | Regency Ambulatory Surgery Center One, LLC | Clinic/Center | 14753 W Mountain View Blvd, Surprise, AZ 85374 | 2019-10-14 |
| 1164064929 | Advanced Ambulatory Surgery Center One, LLC | Clinic/Center | 14753 W. Mountain View Blvd., Surprise, AZ 85374 | 2019-10-14 |
| 1275005308 | Filsan Ali | Nurse Practitioner | 14780 W Mountain View Blvd #109, Surprise, Az 85374, Surprise, AZ 85374 | 2018-12-31 |
| 1427528686 | Anna L Bell | Nurse Practitioner | 14811 W Bell Rd Ste 100, Surprise, AZ 85374 | 2018-11-30 |
| 1649755893 | Surprise Behavioral Hospital Lp | Psychiatric Hospital | 16561 North Parkview Place, Surprise, AZ 85374 | 2018-10-03 |
| 1336621259 | Chaparral Winds LLC | Assisted Living Facility | 16623 N West Point Parkway, Surprise, AZ 85374 | 2018-09-06 |
| 1104310648 | Austin Daniel Lau | Dentist | 17018 W Bell Rd, Surprise, AZ 85374 | 2018-06-19 |
| Find all providers in zip 85374 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487271797 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 16385 W Waddell Rd, Surprise, AZ 85388-9623 | 2020-07-02 |
| 1942602610 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 13706 W Bell Rd, Ste 10, Surprise, AZ 85374-3867 | 2014-09-24 |
| 1063708352 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 13371 W Grand Ave, Suite 102, Surprise, AZ 85374-7063 | 2011-06-24 |
| 1689810533 | Sam's Club Optical | Eyewear Supplier (Equipment, not the service) | 16573 W Bell Rd, Surprise, AZ 85374-9892 | 2008-12-24 |
| 1376750380 | Thomas J Tessmer | Eyewear Supplier (Equipment, not the service) | 14455 W Grand Ave, Ste 102, Surprise, AZ 85374-7196 | 2007-05-17 |
| 1801947015 | Luxottica of America Inc | Eyewear Supplier (Equipment, not the service) | 13731 W Bell Rd, Surprise, AZ 85374-3871 | 2007-01-15 |
| 1669532297 | Eyeswest Optical, Inc. | Eyewear Supplier (Equipment, not the service) | 12801 W Bell Rd, Suite 139, Surprise, AZ 85378-9797 | 2006-12-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124652359 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 7014 E Camelback Rd Ste 156, Scottsdale, AZ 85251-1227 | 2020-02-26 |
| 1134760937 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 302 E Bell Rd Ste 150, Phoenix, AZ 85022-2434 | 2019-10-02 |
| 1831678127 | Thundercloud Optical | Eyewear Supplier (Equipment, not the service) | 4515 N 16th St Ste 112, Phoenix, AZ 85016-5362 | 2018-08-08 |
| 1396262614 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 15257 N Scottsdale Rd, Scottsdale, AZ 85254-2490 | 2017-08-28 |
| 1689102923 | Van Buren Optical, LLC | Eyewear Supplier (Equipment, not the service) | 1130 E Missouri Ave Ste 110, Phoenix, AZ 85014-2712 | 2017-05-31 |
| 1790237527 | Visionworks, Inc | Eyewear Supplier (Equipment, not the service) | 10285 West Mcdowell Rd, Ste A-102, Avondale, AZ 85392 | 2016-10-27 |
| 1750832721 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 7600 W Arrowhead Towne Ctr, Glendale, AZ 85308 | 2016-10-14 |
| 1346790094 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 1979 E 16th St, Yuma, AZ 85365-2122 | 2016-10-06 |
| 1396294583 | Kokopelli Eye Care PC | Eyewear Supplier (Equipment, not the service) | 2403 N Stockton Hill Rd, Suite 1, Kingman, AZ 86401-4188 | 2016-09-28 |
| 1891147906 | Luxottica of America Inc | Eyewear Supplier (Equipment, not the service) | 2410 E Camelback Rd, Phoenix, AZ 85016-4202 | 2016-07-13 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.