Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kokopelli Eye Care PC

Organization Ambulatory Surgical Clinic/Center · NPI 1114140019

Kokopelli Eye Care PC is an Ambulatory Surgical Clinic/Center in Prescott, Arizona. Licensed in Arizona. Registered with an NPI since 2007.

Licensed in
AZ
In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

412 Whipple St
Prescott, AZ 86301-1712
Phone: (928) 771-9000
Fax: (928) 771-9460
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X · Licence OSC3634 (AZ)

Record details

NPI number1114140019
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationKokopelli Eye Care, PC
Authorized official Michael Ham — President · (928) 771-9000
NPI enumeratedApril 10, 2007
Last updated in NPPESNovember 16, 2007
Mailing address2820 N Glassford Hill Rd, Suite 101, Prescott Valley, AZ 86314-1242

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