Individual provider Active NPI

Shawn Giese, O.D.

  • Optometrist
  • Chandler, AZ
National Provider Identifier
1114057205
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1449 Issued in AZ
Practice address
700 N 54TH St
Chandler, AZ 85226-1502
Phone
(480) 893-2333
NPI assigned
Mar 7, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1449 AZ Primary

Addresses

Primary practice location

700 N 54TH St
Chandler, AZ 85226-1502

Mailing address

PO Box 6292
Scottsdale, AZ 85261-6292
Phone (480) 290-1470

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090423000759 AZ Practitioner - Optometry 6901954387 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cave Creek Eye LLCGroup PAC ID 9830638097, 3 clinicians

Practice addresses (Care Compare)

700 N 54TH St
Chandler, AZ 85226-1502
Phone (480) 436-3445

7100 E Cave Creek Rd
Suite 141
Cave Creek, AZ 85331-4311
Phone (623) 302-5888

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery46

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1449AZMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Crystal Cove Eye Consultants, LLC Optometrist CurrentSince Jun 10, 2006 Accepting new patients
Cave Creek Eye LLC Optometrist CurrentSince Apr 22, 2024 Accepting new patients
Myeyedr Optometry of Washington, PLLC Optometrist PastSince Sep 15, 2024 Accepting new patients
Myeyedr Optometry of Washington, PLLC Optometrist Past Accepting new patients

Locations

7100 E Cave Creek Rd
Ste 141
Cave Creek, AZ 85331
Phone (623) 302-5888

700 N 54th St
Chandler, AZ 85226
Phone (480) 436-3445

1225 N Gilbert Rd
Gilbert, AZ 85234
Phone (480) 926-0104

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114057205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6292",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852616292",
            "telephone_number": "480-290-1470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 N 54TH ST",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852261502",
            "telephone_number": "480-893-2333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIESE",
        "first_name": "SHAWN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "1449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.