Crystal Cove Eye Consultants, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

1449 Issued in AZ

Legal business name

CRYSTAL COVE EYE CONSULTANTS, LLC

Practice address

700 N 54TH St
Chandler, AZ 85226-1502

Phone

(480) 893-2333

Fax

(480) 893-8895

NPI assigned

Feb 16, 2009

Last updated

Feb 16, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Shawn Giese, O.D.NPI 1114057205

Title

Executive Member

Phone

(480) 290-1470

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 2

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.

• Shawn Giese, O.D.

  • Optometrist
  • Chandler, AZ
  • NPI 1114057205
  Medicare reassignment NPD Authorized official
• Kalynn Egea

  • Optometrist
  • Peoria, AZ
  • NPI 1013577576
  Medicare reassignment NPD

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

{
    "created_epoch": "1234742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234742400000",
    "number": "1811136872",
    "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",
            "fax_number": "480-893-8895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRYSTAL COVE EYE CONSULTANTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-16",
        "last_updated": "2009-02-16",
        "status": "A",
        "authorized_official_last_name": "GIESE",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_title_or_position": "EXECUTIVE MEMBER",
        "authorized_official_telephone_number": "480-290-1470",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "1449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David W Crouthamel, DDS
• William A. Crum, O.D.
• Anna Cruz
• Jill Kristin Cruz, LMFT
• Nicole Cryer
• CSL-Chandler, LLC (Pennington Gardens Assisted Living & Memory Care)
• Laura Cubas, MS
• Daniel Jeremy Cucher, MD
• Reyna Lynn Cuellar, M.D.
• Cirina J. Culberson, CRNFA

• Optometrist in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Optometrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2009; 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.