Organization Active NPI

Cave Creek Eye LLC

  • Optometrist
  • Cave Creek, AZ
National Provider Identifier
1710732839
Registry record updated Apr 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
CAVE CREEK EYE LLC
Practice address
7100 E Cave Creek Rd Ste 141
Cave Creek, AZ 85331-4311
Phone
(623) 302-5888
NPI assigned
Apr 22, 2024
Last updated
Apr 22, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2024

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

Authorized official

Name
Dr. Shawn Giese, ODNPI 1114057205
Title
Executive Member
Phone
(480) 436-3445

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

7100 E Cave Creek Rd Ste 141
Cave Creek, AZ 85331-4311

Mailing address

PO Box 6292
Scottsdale, AZ 85261-6292
Phone (480) 436-3445

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240831000420 AZ Part B Supplier - Clinic/Group Practice 9830638097 Receives reassigned benefits from 3 practitioners
Practice locations: Cave Creek, AZ

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1713744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713744000000",
    "number": "1710732839",
    "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": "480-436-3445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7100 E CAVE CREEK RD STE 141",
            "city": "CAVE CREEK",
            "state": "AZ",
            "postal_code": "853314311",
            "telephone_number": "623-302-5888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAVE CREEK EYE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-22",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A",
        "authorized_official_last_name": "GIESE",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_title_or_position": "EXECUTIVE MEMBER",
        "authorized_official_telephone_number": "480-436-3445",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cave Creek, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.