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KOKOPELLI EYE CARE PC
NPI 1114140019
Clinic/Center - Ambulatory Surgical in Prescott, AZ

Active since April 10, 2007
412 WHIPPLE ST, PRESCOTT, AZ 86301(928) 771-9000(928) 771-9460 Get Directions Write a Review

NPPES record last updated: November 16, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kokopelli Eye Care Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KOKOPELLI EYE CARE PC (NPI 1114140019) is a healthcare organization registered as an ambulatory surgical in Prescott, Arizona and active in the NPI registry since April 2007. The organization lists Michael L Ham, President, as its authorized official.

NPPES Registry Identity

NPI1114140019
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameKOKOPELLI EYE CARE PC
Location Address412 WHIPPLE STPrescott, AZ 86301-1712
Mailing Address2820 N Glassford Hill Rd, Suite 101Prescott Valley, AZ 86314-1242 · (928) 775-5606 · Fax (928) 772-4999
Phone(928) 771-9000
Fax(928) 771-9460
Organization SubpartYesParent: Kokopelli Eye Care, Pc
Authorized OfficialMichael L HamPresident · (928) 771-9000
Enumeration DateApril 10, 2007
Last NPPES UpdateNovember 16, 2007
✔ NPI 1114140019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License✔ Licensed in AZ · OSC3634
412 WHIPPLE ST, Prescott, AZ 86301
Open in Google Maps ↗

Other Identifiers 1

Medicare PINZ110504AZ

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TKC HOLDINGS LLC
Taxi
412 WHIPPLE ST
PRESCOTT, AZ 86301
Yavapai County (928) 771-9365
DIABETES NEUROPATHY CENTER
Family Medicine (Adult Medicine)
412 WHIPPLE ST
PRESCOTT, AZ 86301
Yavapai County (480) 788-5621
JOSEPH MICHAEL KRUPA DPM
Podiatrist (Foot & Ankle Surgery)
412 WHIPPLE ST
PRESCOTT, AZ 86301
Yavapai County (480) 788-5621
BMI423I
Family Medicine
412 WHIPPLE ST
PRESCOTT, AZ 86301
Yavapai County (480) 788-5621
ADVANCED MINIMALLY INVASIVE SURGICAL
Surgery (Vascular Surgery)
412 WHIPPLE ST
PRESCOTT, AZ 86301
Yavapai County (480) 788-5621
KOKOPELLI EYE CARE PC
Durable Medical Equipment & Medical Supplies
412 WHIPPLE ST
PRESCOTT, AZ 86301
Yavapai County (928) 771-9000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kokopelli Eye Care PC's NPI number?

The NPI number for Kokopelli Eye Care PC is 1114140019. It was assigned to this organization in the NPPES registry on April 10, 2007.

Where is Kokopelli Eye Care PC located?

Kokopelli Eye Care PC is located at 412 Whipple St, Prescott, AZ 86301. The listed phone number is (928) 771-9000.

What is Kokopelli Eye Care PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

When was this NPI record last updated?

The NPPES record for Kokopelli Eye Care PC was last updated on November 16, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.