KOKOPELLI EYE CARE PC (NPI# 1619470085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619470085 |
| Entity Type | Organization |
| Organization Name | KOKOPELLI EYE CARE PC |
| Other Organization Name | KOKOPELLI EYE INSTITUTE |
| Practice Address |
5140 W Peoria Ave Ste 116 Glendale AZ 85302-1631 |
| Mailing Address |
2820 N Glassford Hill Rd Prescott Valley AZ 86314-1242 |
| Practice Telephone | 8445656393 |
| Practice Fax Number | 8443295656 |
| Mailing Telephone | 9287719000 |
| Mailing Fax Number | 9287599902 |
| Enumeration Date | 2018-03-13 |
| Last Update Date | 2018-03-13 |
| Authorized Official Name | MICHAEL LEE HAM (PRESIDENT) |
| Authorized Official Telephone | 9287755606 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 26357 | AZ | Suppliers |
| Other Name | Type Code |
|---|---|
| Kokopelli Eye Institute | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023663010 | Kokopelli Eye Care PC | Durable Medical Equipment & Medical Supplies | 9151 W Thunderbird Rd Ste 104, Peoria, AZ 85381-4906 | 2019-08-06 |
| 1669975157 | Kokopelli Eye Care PC | Durable Medical Equipment & Medical Supplies | 16605 E Palisades Blvd Ste 152, Fountain Hills, AZ 85268-3717 | 2018-03-12 |
| 1184175416 | Kokopelli Eye Care PC | Eyewear Supplier (Equipment, not the service) | 15033 W Bell Rd Ste 150, Surprise, AZ 85374-3262 | 2016-10-21 |
| 1396294583 | Kokopelli Eye Care PC | Eyewear Supplier (Equipment, not the service) | 2403 N Stockton Hill Rd, Suite 1, Kingman, AZ 86401-4188 | 2016-09-28 |
| 1114140019 | Kokopelli Eye Care PC | Clinic/Center | 412 Whipple St, Prescott, AZ 86301-1712 | 2007-04-10 |
| 1174026546 | Kokopelli Eye Care PC | Durable Medical Equipment & Medical Supplies | 25 W Yavapai St, Wickenburg, AZ 85390-3280 | 2018-03-13 |
| 1750894655 | Kokopelli Eye Care PC | Eyewear Supplier (Equipment, not the service) | 2820 N Glassford Hill Rd, Prescott Valley, AZ 86314-1242 | 2017-11-14 |
| 1841457819 | Kokopelli Eye Care PC | Durable Medical Equipment & Medical Supplies | 412 Whipple St, Prescott, AZ 86301-1712 | 2008-05-19 |
| 1528005444 | Kokopelli Eye Care PC | Specialist | 2820 N Glassford Hill Rd, Suite 101, Prescott Valley, AZ 86314-1242 | 2006-05-31 |
| Street Address |
5140 W PEORIA AVE STE 116 |
| City | GLENDALE |
| State | AZ |
| Zip Code | 85302-1631 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235736190 | Tyler Davis LLC | Psychologist | 8607 N 59th Ave Suite C-6, Glendale, AZ 85302 | 2020-10-05 |
| 1679098420 | Sidney M Kingery | Physical Therapist | 5810 W Peoria Ave, Glendale, AZ 85302 | 2017-08-12 |
| 1255877825 | Sonoran Sky Community Services | Community Based Residential Treatment Facility, Mental Illness | 5651 W. Harmont Dr, Glendale, AZ 85302 | 2017-01-06 |
| 1346696382 | Megan Mari Byrne | Chiropractor | 8425 N 61st Dr., Glendale, AZ 85302 | 2016-05-09 |
| 1558742007 | Farzan Mojgani | Dentist | 5929 W. Peoria Ave. Suite 101, Glendale, AZ 85302 | 2015-06-10 |
| 1255757308 | Glendale Modern Dentistry, LLP | Dentist | 5143 West Olive Ave, Suite 140, Glendale, AZ 85302 | 2014-03-13 |
| 1518391341 | Crystal Nicole-marie Whitman | Physical Therapy Assistant | 5411 W. Cinnabar Ave., Glendale, AZ 85302 | 2013-08-28 |
| 1013349570 | A New Leaf | Clinic/Center | 8581 N 61st Ave, Building A, Suite 101-102, Glendale, AZ 85302 | 2013-08-06 |
| 1255602439 | Alicia S Fennemore | Specialist/Technologist | 352 E. Camelback Rd., Suite 102, Phoenix, AZ 85302 | 2012-01-20 |
| 1639306731 | Total Medical Care, LLC | Clinic/Center | 5048 W. Northern Avenue, Suite 105, Glendale, AZ 85302 | 2009-06-16 |
| Find all providers in zip 85302 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| 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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| 1093336984 | Love LLC | Durable Medical Equipment & Medical Supplies | 1027 S Central Ave Ste 300, Glendale, CA 91204-3973 | 2020-05-01 |
| 1164051900 | Stateserv Medical of Phoenix LLC | Durable Medical Equipment & Medical Supplies | 5234 W. Missouri, Glendale, AZ 85301 | 2020-04-03 |
| 1740827260 | Trinity Barcing, Inc | Durable Medical Equipment & Medical Supplies | 7721 79th Place, Ground, Glendale, NY 11385-7537 | 2019-12-03 |
| 1932760535 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1487 E Chevy Chase Dr, Glendale, CA 91206-4008 | 2019-06-25 |
| 1093207755 | Km Medical Supplies | Durable Medical Equipment & Medical Supplies | 469 W Windsor Rd Apt 1, Glendale, CA 91204-1925 | 2018-05-30 |
| 1427556588 | Joints In Motion Medical, LLC | Durable Medical Equipment & Medical Supplies | 525 W. Riverwoods Parkway #120, Glendale, WI 53212 | 2018-01-24 |
| 1962919449 | Bhsm Rehabilitation, LLC | Durable Medical Equipment & Medical Supplies | 5605 W Eugie Ave Ste 206, Glendale, AZ 85304-1274 | 2018-01-05 |
| 1558870337 | Intouch Medical Supply | Durable Medical Equipment & Medical Supplies | 19918 N 65th Ave, Glendale, AZ 85308-7088 | 2017-09-25 |
| Find all providers in GLENDALE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.