Kokopelli Eye Care Surgery Center in Prescott Valley - Ambulatory Surgical

Kokopelli Eye Care Surgery Center - NPI 1205858875

Kokopelli Eye Care Surgery Center is a Ambulatory Surgical in Prescott Valley, Arizona. Kokopelli Eye Care Surgery Center practices all healthcare services and medical treatments related to Ambulatory Surgical. The NPI Number for Kokopelli Eye Care Surgery Center is 1205858875. The last update date is 2007-07-10.

Kokopelli Eye Care Surgery Center'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 Surgery Center 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 Surgery Center
Address 2820 N Glassford Hill Rd, Prescott Valley, Arizona
Phone Number 9287755606
Fax Number 9287724999
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER/PRES
Authorized Official Name Ham Lee Michael
Credentials MD
Telephone Number 9287755606

NPI Number Detail

NPI Number 1205858875
Provider Enumeration Date 2006-07-24
Last Updated Date 2007-07-10

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 Ambulatory Surgical
Taxonomy 261Qa1903X
Licence No OSC 0078
Definition:
Provides outpatient surgical services not requiring hospitalization.

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FAQs about Kokopelli Eye Care Surgery Center

What is the Kokopelli Eye Care Surgery Center's unique identification number?

The Kokopelli Eye Care Surgery Center has been assigned the NPI (National Provider Identifier) Number 1205858875 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete address where Kokopelli Eye Care Surgery Center is physically located?

The Kokopelli Eye Care Surgery Center is situated at the following address: 2820 N Glassford Hill Rd, Prescott Valley, AZ 863141242.

What is Kokopelli Eye Care Surgery Center's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Kokopelli Eye Care Surgery Center is Ambulatory Surgical, and the corresponding taxonomy classification code for this specialized field is 261Qa1903X.

On what date did the Kokopelli Eye Care Surgery Center receive the assignment of its 1205858875 from the Centers for Medicare & Medicaid Services?

The Kokopelli Eye Care Surgery Center was issued its 1205858875 by the Centers for Medicare & Medicaid Services on 2006-07-24.

As of what date were the details pertaining to Kokopelli Eye Care Surgery Center last refreshed?

The information related to the Kokopelli Eye Care Surgery Center, including its address, specialty, and other relevant details, was last updated on 2007-07-10.

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