KOKOPELLI EYE CARE PC (NPI# 1396294583) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396294583 |
| Entity Type | Organization |
| Organization Name | KOKOPELLI EYE CARE PC |
| Other Organization Name | KOKOPELLI EYE INSTITUTE |
| Practice Address |
2403 N Stockton Hill Rd Suite 1 Kingman AZ 86401-4188 |
| Mailing Address |
2820 N Glassford Hill Rd Prescott Valley AZ 86314-1242 |
| Practice Telephone | 8445656393 |
| Practice Fax Number | 8443295656 |
| Mailing Telephone | 9287719000 |
| Mailing Fax Number | 9287599902 |
| Enumeration Date | 2016-09-28 |
| Last Update Date | 2016-09-28 |
| 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 |
| 1184175416 | Kokopelli Eye Care PC | Eyewear Supplier (Equipment, not the service) | 15033 W Bell Rd Ste 150, Surprise, AZ 85374-3262 | 2016-10-21 |
| 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 |
2403 N STOCKTON HILL RD SUITE 1 |
| City | KINGMAN |
| State | AZ |
| Zip Code | 86401-4188 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730780594 | Ashley Brianna Allen | Licensed Practical Nurse | 2403 N Stockton Hill Rd, Kingman, AZ 86401-4188 | 2020-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053858704 | Robert Cole | Nurse Practitioner | 3545 Cheyenne Ave, King,an, AZ 86401 | 2017-01-19 |
| 1710420286 | Acadia Healthcare Inc | Nurse Practitioner | 2699 E Andy Devine, Suite B, Kingman, AZ 86401 | 2016-11-30 |
| 1174079800 | Kenneth Mcadow | Physical Therapist | 2404 Stockton Hill Road, Suite K, Kingman, AZ 86401 | 2016-09-01 |
| 1649659483 | Tracie Hirz | Case Manager/Care Coordinator | 3656 Packsaddle Road, Kingman, AZ 86401 | 2015-05-27 |
| 1548657695 | Chelsea Presbrey | Family Medicine | 2202 N Stockton Hill Rd Ste 100, Kingman, AZ 86401 | 2015-04-15 |
| 1649617226 | Abubakr Abdelmunim Tagelsir Abdelaziz | Internal Medicine | 2501 N Stockton Hill Rd Ste 102, Kingman, AZ 86401 | 2013-05-23 |
| 1205173325 | Patricia Jean Marko | Social Worker | 2002 Stockton Hill Road, Mohave Mental Health Clinic, Inc., Kingman, AZ 86401 | 2013-01-09 |
| 1770835316 | Hae Young Lee | Dentist | 2058 Maya Dr., Kingman, AZ 86401 | 2012-10-05 |
| 1255681623 | Hilary Radler | Specialist/Technologist | 3033 Macdonald, Kingman, AZ 86401 | 2012-09-13 |
| 1477836880 | Goodwill of Northern Arizona | Exclusive Provider Organization | 2369 Airway Avenue, Kingman, AZ 86401 | 2011-09-21 |
| Find all providers in zip 86401 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1184175416 | Kokopelli Eye Care PC | Eyewear Supplier (Equipment, not the service) | 15033 W Bell Rd Ste 150, Surprise, AZ 85374-3262 | 2016-10-21 |
| 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 |
| 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.