KOKOPELLI EYE CARE SURGERY CENTER
NPI 1205858875
Clinic/Center - Ambulatory Surgical in Prescott Valley, AZ

NPI Status: Active since July 24, 2006

Contact Information

2820 N GLASSFORD HILL RD
PRESCOTT VALLEY, AZ
ZIP 86314
Phone: (928) 775-5606
Fax: (928) 772-4999

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical

About KOKOPELLI EYE CARE SURGERY CENTER

This page provides the complete NPI Profile along with additional information for Kokopelli Eye Care Surgery Center, a provider established in Prescott Valley, Arizona operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1205858875 assigned on July 2006. The practitioner's primary taxonomy code is 261QA1903X with license number OSC 0078 (AZ). The provider is registered as an organization and their NPI record was last updated 19 years ago. The authorized official of this NPI record is Michael Lee Ham Md (Owner/president)

NPI
1205858875
Provider Name
KOKOPELLI EYE CARE SURGERY CENTER
Entity Type
Organization
Location Address
2820 N GLASSFORD HILL RD PRESCOTT VALLEY, AZ 86314
Location Phone
(928) 775-5606
Location Fax
(928) 772-4999
Mailing Address
2820 N GLASSFORD HILL RD PRESCOTT VALLEY, AZ 86314
Mailing Phone
(928) 775-5606
Mailing Fax
(928) 772-4999
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-24-2006
Last Update Date
07-10-2007
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Ambulatory Surgical

Taxonomy Code
261QA1903X
Type
Ambulatory Health Care Facilities
License No.
OSC 0078
License State
AZ

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MICHAEL LEE HAM MD

Authorized Official Title
OWNER/PRESIDENT
Authorized Official Phone
(928) 775-5606

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
Z24396MEDICARE ID-TYPE UNSPECIFIED (04)AZMEDICARE IDENTIFIER

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1205858875, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
0
Doubled → 0
Pos 4
5
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
5
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
8
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 8 → 16 → 7 8 → 16 → 7 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 0 + 5 + 1 + 6 + 5 + 1 + 6 + 8 + 1 + 4 + 24 = 65

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1205858875.

Other Providers at the Same Location


The following 8 providers are registered at the same or a nearby location.

Optometrist
2820 N GLASSFORD HILL RD, STE 101
PRESCOTT VALLEY, AZ 86314
Ophthalmology
2820 N GLASSFORD HILL RD
PRESCOTT VALLEY, AZ 86314
Technician/Technologist (Optician)
2820 N GLASSFORD HILL RD, SUITE 101
PRESCOTT VALLEY, AZ 86314
Ophthalmology
2820 N GLASSFORD HILL RD, STE 101
PRESCOTT VALLEY, AZ 86314
Specialist
2820 N GLASSFORD HILL RD, SUITE 101
PRESCOTT VALLEY, AZ 86314
Optometrist
2820 N GLASSFORD HILL RD, SUITE 101
PRESCOTT VALLEY, AZ 86314
Eyewear Supplier
2820 N GLASSFORD HILL RD
PRESCOTT VALLEY, AZ 86314
Counselor (Professional)
2820 N GLASSFORD HILL RD
PRESCOTT VALLEY, AZ 86314

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205858875, enumerated as an "organization" on July 24, 2006.

The provider is located at 2820 N GLASSFORD HILL RD PRESCOTT VALLEY, AZ 86314 and the phone number is (928) 775-5606.

Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.