Individual provider Active NPI

Caaveh Siahmakoun, OD

  • Optometrist
  • Mesa, AZ
National Provider Identifier
1740087287
Registry record updated Jun 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT-002886 Issued in AZ
Practice address
1025 S Power Rd Ste 102
Mesa, AZ 85206-5240
Phone
(480) 325-6277
Fax
(480) 325-6278
NPI assigned
Mar 3, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT-002886 AZ Primary

Addresses

Primary practice location

1025 S Power Rd Ste 102
Mesa, AZ 85206-5240

Mailing address

955 W Southern Ave Ste 101
Mesa, AZ 85210-4903
Phone (480) 961-1865

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
I20250708001199 AZ Practitioner - Optometry 2365956844 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nationwide Optometry P.C.Group PAC ID 6901033075, 54 clinicians

Practice addresses (Care Compare)

1025 S Power Rd
102 NW Vision Ctr
Mesa, AZ 85206-5240
Phone (480) 325-6277

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT-002886AZMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Nationwide Optometry P.C. Optometrist CurrentSince Jun 23, 2025 Accepting new patients
Nationwide Optometry P.C. Optometrist CurrentSince Jun 23, 2025 Accepting new patients
Nationwide Optometry P.C. Optometrist Past Accepting new patients
Nationwide Optometry P.C. Optometrist PastSince Sep 1, 2022 Accepting new patients
Nationwide Optometry P.C. Optometrist Past Accepting new patients

Locations (25 of 56)

39508 N Daisy Mountain Dr
Ste 150
Anthem, AZ 85086
Phone (623) 551-6192

95 S Idaho Rd
Ste 170
Apache Junction, AZ 85119
Phone (480) 983-3438

10485 W McDowell Rd
Ste 103
Avondale, AZ 85392
Phone (480) 908-1001

860 S Watson Rd
Ste 107
Buckeye, AZ 85326
Phone (623) 386-8802

2840 Highway 95
Ste 416418
Bullhead City, AZ 86442
Phone (928) 704-1808

1775 E Florence Blvd
Ste 2
Casa Grande, AZ 85122
Phone (520) 426-1600

2050 N Alma School Rd
Ste 14
Chandler, AZ 85224
Phone (480) 786-1075

4025 S Gilbert Rd
Ste 3
Chandler, AZ 85249
Phone (480) 988-6847

801 S Milton Rd
Flagstaff, AZ 86001
Phone (928) 213-1400

1495 N Higley Rd
Ste 106
Gilbert, AZ 85234
Phone (623) 289-8962

1672 E Guadalupe Rd
Ste 111
Gilbert, AZ 85234
Phone (480) 892-6495

6510 S Higley Rd
Ste 101
Gilbert, AZ 85298
Phone (480) 988-0765

115 E Williams Field Rd
Gilbert, AZ 85295

5026 W Cactus Rd
Ste 4
Glendale, AZ 85304
Phone (602) 547-9124

20221 N 67th Ave
Ste E8
Glendale, AZ 85308
Phone (623) 362-2349

9524 W Camelback Rd
Ste 150
Glendale, AZ 85305
Phone (623) 872-8822

5707 W Northern Ave
Ste 106
Glendale, AZ 85301
Phone (602) 512-3299

14175 W Indian School Rd
Goodyear, AZ 85395
Phone (623) 536-2575

1170 N Estrella Pkwy
Ste A105
Goodyear, AZ 85338
Phone (623) 932-0428

18690 S Nogales Hwy
Ste 118
Green Valley, AZ 85614
Phone (520) 648-0698

7650 S 59th Ave
Ste 101
Laveen, AZ 85339
Phone (602) 237-3576

20928 N John Wayne Pkwy
Ste C6
Maricopa, AZ 85139
Phone (520) 316-4388

1025 S Power Rd
Ste 102
Mesa, AZ 85206
Phone (480) 325-6277

1240 S Signal Butte Rd
Ste 103
Mesa, AZ 85209
Phone (480) 761-2930

1025 S Power Rd
Mesa, AZ 85206
Phone (480) 325-6277

Interoperability endpoints

  • Direct secure messaging: dr.caaveh.siahmakoun@direct.eyecare-partners.com
  • FHIR API: https://app.meldrx.com/api/fhir/ecp_cecaz

Organizations & group practices 5

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": "1740960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750636800000",
    "number": "1740087287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 W SOUTHERN AVE STE 101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852104903",
            "telephone_number": "480-961-1865",
            "fax_number": "480-893-8172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 S POWER RD STE 102",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852065240",
            "telephone_number": "480-325-6277",
            "fax_number": "480-325-6278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIAHMAKOUN",
        "first_name": "CAAVEH",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-03-03",
        "last_updated": "2025-06-23",
        "certification_date": "2025-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "OPT-002886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.