KOKOPELLI EYE INSTITUTE
NPI 1619470085
Durable Medical Equipment & Medical Supplies in Glendale, AZ

Active since March 13, 2018
5140 W PEORIA AVE STE 116, GLENDALE, AZ 85302(844) 565-6393(844) 329-5656 Get Directions Write a Review

NPPES record last updated: March 13, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kokopelli Eye Institute NPPES

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

KOKOPELLI EYE INSTITUTE (NPI 1619470085) is a healthcare organization registered as a durable medical equipment & medical supplies in Glendale, Arizona and active in the NPI registry since March 2018. The organization lists Michael Lee Ham, President, as its authorized official.

NPPES Registry Identity

NPI1619470085
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameKOKOPELLI EYE CARE PC
Location Address5140 W PEORIA AVE STE 116Glendale, AZ 85302-1631
Mailing Address2820 N Glassford Hill RdPrescott Valley, AZ 86314-1242 · (928) 771-9000 · Fax (928) 759-9902
Fax(844) 329-5656
Organization SubpartNo
Authorized OfficialMichael Lee HamPresident · (928) 775-5606
Enumeration DateMarch 13, 2018
NPI 1619470085 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
License Licensed in AZ · 26357
Definition

A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

5140 W PEORIA AVE STE 116, Glendale, AZ 85302

Other Names 1

Doing Business AsKokopelli Eye Institute

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1619470085, enumerated as an "organization" on March 13, 2018.

The provider is located at 5140 W PEORIA AVE STE 116 GLENDALE, AZ 85302 and the phone number is (844) 565-6393.

Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.