Kokopelli Eye Care Pc in Prescott Valley - Specialist
Kokopelli Eye Care Pc - NPI 1528005444
Kokopelli Eye Care Pc is a Specialist in Prescott Valley, Arizona. Kokopelli Eye Care Pc practices all healthcare services and medical treatments related to Specialist. The NPI Number for Kokopelli Eye Care Pc is 1528005444. The last update date is 2012-07-16.
Kokopelli Eye Care Pc's current location address is 2820 N Glassford Hill Rd, Prescott Valley, Arizona. You can contact this provider via phone number 9287755606 and fax number 9287724999. The mailing address for Kokopelli Eye Care Pc is 2820 N Glassford Hill Rd, Prescott Valley, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Kokopelli Eye Care Pc |
|---|---|
| Address | 2820 N Glassford Hill Rd, Prescott Valley, Arizona |
| Phone Number | 9287755606 |
| Fax Number | 9287724999 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Ham Lee Michael |
| Credentials | M.D. |
| Telephone Number | 9287755606 |
NPI Number Detail
| NPI Number | 1528005444 |
|---|---|
| Provider Enumeration Date | 2006-05-31 |
| Last Updated Date | 2012-07-16 |
Provider Mailing Address Detail
| Address | 2820 N Glassford Hill Rd |
|---|---|
| City | Prescott Valley |
| State | Arizona (AZ) |
| Post Code | 863141242 |
| Phone Number | 9287755606 |
| Fax Number | 9287724999 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 26357 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Kokopelli Eye Care Pc by the Centers for Medicare & Medicaid Services?
The Kokopelli Eye Care Pc has been assigned the NPI (National Provider Identifier) 1528005444 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Kokopelli Eye Care Pc?
The Kokopelli Eye Care Pc is situated at 2820 N Glassford Hill Rd, in the city of Prescott Valley, state of AZ, with the zip code 863141242.
What is the Kokopelli Eye Care Pc's area of specialization and corresponding taxonomy classification?
The Kokopelli Eye Care Pc's specialty field is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their specialties.
On what date did the Kokopelli Eye Care Pc receive the assignment of its 1528005444 from the Centers for Medicare & Medicaid Services?
The Kokopelli Eye Care Pc was issued its 1528005444 by the Centers for Medicare & Medicaid Services on 2006-05-31.
As of what date was the information pertaining to Kokopelli Eye Care Pc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Kokopelli Eye Care Pc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2012-07-16.