Provider Demographics
NPI:1710732839
Name:CAVE CREEK EYE LLC
Entity type:Organization
Organization Name:CAVE CREEK EYE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:SHAWN
Authorized Official - Middle Name:
Authorized Official - Last Name:GIESE
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:480-436-3445
Mailing Address - Street 1:PO BOX 6292
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85261-6292
Mailing Address - Country:US
Mailing Address - Phone:480-436-3445
Mailing Address - Fax:
Practice Address - Street 1:7100 E CAVE CREEK RD STE 141
Practice Address - Street 2:
Practice Address - City:CAVE CREEK
Practice Address - State:AZ
Practice Address - Zip Code:85331-4311
Practice Address - Country:US
Practice Address - Phone:623-302-5888
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-22
Last Update Date:2024-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty