| NPI | 1750894655 |
|---|---|
| Doing Business As | KOKOPELLI EYE INSTITUTE |
| Entity Type | Organization |
| Authorized Contact | LAURA L CRAIN Adminstrator 928-308-5109 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier |
| Enumeration Date | 2017-11-14 |
| Last Update Date | 2017-11-14 |