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

Active since July 24, 2006
2820 N GLASSFORD HILL RD, PRESCOTT VALLEY, AZ 86314(928) 775-5606(928) 772-4999 Get Directions Write a Review

NPPES record last updated: July 10, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kokopelli Eye Care Surgery Center NPPES

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

KOKOPELLI EYE CARE SURGERY CENTER (NPI 1205858875) is a healthcare organization registered as an ambulatory surgical in Prescott Valley, Arizona and active in the NPI registry since July 2006. The organization lists Michael Lee Ham, Owner/president, as its authorized official.

NPPES Registry Identity

NPI1205858875
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameKOKOPELLI EYE CARE SURGERY CENTER
Location Address2820 N GLASSFORD HILL RDPrescott Valley, AZ 86314-1242
Mailing Address2820 N Glassford Hill RdPrescott Valley, AZ 86314-1242 · (928) 775-5606 · Fax (928) 772-4999
Fax(928) 772-4999
Organization SubpartNo
Authorized OfficialMichael Lee HamOwner/president · (928) 775-5606
Enumeration DateJuly 24, 2006
Last NPPES UpdateJuly 10, 2007
NPI 1205858875 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 · OSC 0078
2820 N GLASSFORD HILL RD, Prescott Valley, AZ 86314

Other Identifiers 1

Medicare ID-Type UnspecifiedZ24396AZ · Medicare Identifier

Other Providers at the Same Location NPPES 8

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

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

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 Surgery Center's NPI number?

The NPI number for Kokopelli Eye Care Surgery Center is 1205858875. It was assigned to this organization in the NPPES registry on July 24, 2006.

Where is Kokopelli Eye Care Surgery Center located?

Kokopelli Eye Care Surgery Center is located at 2820 N Glassford Hill Rd, Prescott Valley, AZ 86314. The listed phone number is (928) 775-5606.

What is Kokopelli Eye Care Surgery Center'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 Surgery Center was last updated on July 10, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.