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

Kokopelli Eye Care PC

Organization Durable Medical Equipment & Medical Supplies · NPI 1619470085

Kokopelli Eye Care PC is a Durable Medical Equipment & Medical Supplies in Glendale, Arizona. Licensed in Arizona. Registered with an NPI since 2018.

Licensed in
AZ
In the registry since
2018
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

5140 W Peoria Ave Ste 116
Glendale, AZ 85302-1631
Phone: (844) 565-6393
Fax: (844) 329-5656
Show map & directions

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

Specialties & licences

Durable Medical Equipment & Medical Supplies (primary) Taxonomy 332B00000X · Licence 26357 (AZ)

Record details

NPI number1619470085
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Ham — President · (928) 775-5606
Other names Kokopelli Eye Institute
NPI enumeratedMarch 13, 2018
Last updated in NPPESMarch 13, 2018
Mailing address2820 N Glassford Hill Rd, Prescott Valley, AZ 86314-1242

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