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 |