Organization
KOKOPELLI EYE CARE OPTICAL DEPT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBIE ELIAS (ADMINISTRATOR)
(928) 775-5606
Entity
Organization
Contact information
Practice address
2820 N GLASSFORD HILL RD, SUITE 101, PRESCOTT VALLEY, AZ 86314-1242
(928) 775-5606
(928) 772-4999
Mailing address
2820 N GLASSFORD HILL RD, SUITE 101, PRESCOTT VALLEY, AZ 86314-1242
(928) 775-5606
(928) 772-4999
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
AZ26357
AZ
Other
Enumeration date
05/20/2008
Last updated
05/20/2008
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