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KOKOPELLI EYE CARE PC
Adult Day Care
OIG CLEAR⚠ MEDICARE REVOKEDNPI VERIFIED
Location
PRESCOTT, AZ
Licensed since
2007
Rate
—
Federal identifiers
NPI registry number1114140019
Agency details
Parent orgKOKOPELLI EYE CARE, PC
Medicare activity
Status⚠ Revoked — cannot bill Medicare
Authorized official
NameMICHAEL HAM
TitlePRESIDENT