Kokopelli Eye Care Optical Dept
NPI #1043477847 in Prescott Valley, Arizona
Provider Information
- NPI Number
- 1043477847
- Entity Type
- Organization
- Organization Name
- Kokopelli Eye Care Optical Dept
- Primary Specialty
- Technician/Technologist - Optician
- Enumeration Date
- May 20, 2008
- Last Updated
- May 20, 2008
Practice Location
- Address
- 2820 N GLASSFORD HILL RD
- Address 2
- SUITE 101
- City
- Prescott Valley
- State
- Arizona
- ZIP Code
- 86314-1242
- Phone
- (928) 775-5606
Authorized Official
- Name
- BARBIE ELIAS
- Title
- ADMINISTRATOR
- Phone
- (928) 775-5606
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Optician — Optician |
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