Organization
CRYSTAL COVE EYE CONSULTANTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAWN GIESE O.D. (EXECUTIVE MEMBER)
(480) 290-1470
Entity
Organization
Contact information
Practice address
700 N 54TH ST, CHANDLER, AZ 85226-1502
(480) 893-2333
(480) 893-8895
Mailing address
PO BOX 6292, SCOTTSDALE, AZ 85261-6292
(480) 290-1470
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1449
AZ
Other
Enumeration date
02/16/2009
Last updated
02/16/2009
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