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

Kokopelli Eye Care PC

Organization Specialist · NPI 1528005444

Kokopelli Eye Care PC is a Specialist in Prescott Valley, Arizona. Licensed in Arizona. Registered with an NPI since 2006.

Licensed in
AZ
In the registry since
2006
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

2820 N Glassford Hill Rd Ste 101
Prescott Valley, AZ 86314-1242
Phone: (928) 775-5606
Fax: (928) 772-4999
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 26357 (AZ)

Record details

NPI number1528005444
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Ham — President · (928) 775-5606
NPI enumeratedMay 31, 2006
Last updated in NPPESJuly 16, 2012
Mailing address2820 N Glassford Hill Rd, Suite 101, Prescott Valley, AZ 86314-1242

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