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.

  • 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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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.

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
PRESIDENT
Authorized Official Phone
(928) 775-5606

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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.