Provider Demographics
NPI:1184611568
Name:GEIGER, MANISHA (OD)
Entity type:Individual
Prefix:DR
First Name:MANISHA
Middle Name:
Last Name:GEIGER
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9986 E ACACIA DR
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-2378
Mailing Address - Country:US
Mailing Address - Phone:480-330-3034
Mailing Address - Fax:480-284-7799
Practice Address - Street 1:8406 E SHEA BLVD
Practice Address - Street 2:STE 102
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-6659
Practice Address - Country:US
Practice Address - Phone:602-559-5491
Practice Address - Fax:480-284-7799
Is Sole Proprietor?:No
Enumeration Date:2005-09-30
Last Update Date:2017-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ969152W00000X, 152WV0400X, 152WP0200X, 152WS0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
No152WV0400XEye and Vision Services ProvidersOptometristVision Therapy
No152WP0200XEye and Vision Services ProvidersOptometristPediatrics
No152WS0006XEye and Vision Services ProvidersOptometristSports Vision
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ162814Medicare PIN
AZZ106500Medicare PIN
AZU67374Medicare UPIN
AZZ162074Medicare PIN