KOKOPELLI EYE INSTITUTE
NPI 1619470085
Durable Medical Equipment & Medical Supplies in Glendale, AZ
- Organization
- Durable Medical Equipment & Medical Supp...
About KOKOPELLI EYE INSTITUTE
This page provides the complete NPI Profile along with additional information for Kokopelli Eye Institute, a provider established in Glendale, Arizona operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1619470085 assigned on March 2018. The practitioner's primary taxonomy code is 332B00000X with license number 26357 (AZ). The provider is registered as an organization and their NPI record was last updated 8 years ago. The provider's is doing business as Kokopelli Eye Institute. The authorized official of this NPI record is Michael Lee Ham Md (President)
- NPI
- 1619470085 Verify this NPI
- Provider Legal Name
- KOKOPELLI EYE CARE PC
- Other Organization Name
- KOKOPELLI EYE INSTITUTE
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 5140 W PEORIA AVE STE 116 GLENDALE, AZ 85302
- Location Phone
- (844) 565-6393
- Location Fax
- (844) 329-5656
- Mailing Address
- 2820 N GLASSFORD HILL RD PRESCOTT VALLEY, AZ 86314
- Mailing Phone
- (928) 771-9000
- Mailing Fax
- (928) 759-9902
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-13-2018
- Last Update Date
- 03-13-2018
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Location Map
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
Durable Medical Equipment & Medical Supplies
- Taxonomy Code
- 332B00000X
- Type
- Suppliers
- License No.
- 26357
- License State
- AZ
- Taxonomy Description
- 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.
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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.