NPI | 1396294583 |
---|---|
Doing Business As | KOKOPELLI EYE INSTITUTE |
Entity Type | Organization |
Authorized Contact | LAURA CRAIN Administrator 928-308-5109 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
Enumeration Date | 2016-09-28 |
Last Update Date | 2016-09-28 |