CANYON EYE ASSOCIATES, INC. (NPI# 1235124728) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235124728 |
| Entity Type | Organization |
| Organization Name | CANYON EYE ASSOCIATES, INC. |
| Practice Address |
150 Taylor Station Road Suite 150 Columbus OH 43213-4440 |
| Practice Telephone | 6148669134 |
| Practice Fax Number | 6148666964 |
| Mailing Telephone | 6148669134 |
| Mailing Fax Number | 6148666964 |
| Enumeration Date | 2005-09-12 |
| Last Update Date | 2020-05-13 |
| Authorized Official Name | JENNIFER H YOUNG (PRESIDENT) |
| Authorized Official Telephone | 6148669134 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2015616 | 05 | |
| OH | BUREAU OF WORKERS COMP | 31089242493-00 | 01 |
| OH | ANTHEM BC BS | 000000160740 | 01 |
| Street Address |
150 TAYLOR STATION ROAD SUITE 150 |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43213-4440 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548633977 | Katherine L Rettig | Nurse Practitioner | 150 Taylor Station Road, Suite 200, Columbus, OH 43213 | 2015-11-06 |
| 1033440706 | Mount Carmel Health Providers Two LLC | Surgery | 150 Taylor Station Road, Suite 140, Columbus, OH 43213 | 2010-01-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952917973 | Complete Care for Women | Obstetrics & Gynecology | 99 North Brice Rd, Suite 320, Columbus, OH 43213 | 2020-09-16 |
| 1255963708 | Icare Health & Wellness Medical Center, LLC | Counselor | 3242 E Main St, 2nd Floor, Columbus, OH 43213 | 2020-02-12 |
| 1588133011 | Robert Acheampong-imbeah | Case Manager/Care Coordinator | 3616 Eastwood Park, Whitehall, OH 43213 | 2018-11-14 |
| 1174017248 | Faatimah Sabir | Case Manager/Care Coordinator | 3616 East Main Street, Whitehall, OH 43213 | 2018-06-21 |
| 1639663123 | Reachcare Pharmacy Services LLC | Pharmacy | 4513 E Main St, Columbus, OH 43213 | 2018-06-18 |
| 1245729516 | Dominique Oswalt | Case Manager/Care Coordinator | 4111 Elbern Ave, Whitehall, OH 43213 | 2018-05-02 |
| 1326540865 | Jmkennedy LLC Magnum Np | Nursing Care | 6365 Plankton Dr, Columbus, OH 43213 | 2018-03-01 |
| 1477051647 | Inner Health Chiropractic North, LLC | Chiropractor | Inner Health Chiropractic, 3321 East Broad Street, Columbus, OH 43213 | 2018-01-23 |
| 1902319213 | Mary H Taylor | Massage Therapist | 6100 E. Main St., Suite 110, Columbus, OH 43213 | 2017-11-08 |
| 1407384548 | Lashaunta R Davidson | Licensed Practical Nurse | 4040 E. Broad Street, Whitehall, OH 43213 | 2017-06-02 |
| Find all providers in zip 43213 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053773580 | Andrew Joseph Mueller | Ophthalmology | 262 Neil Ave Ste 430, Columbus, OH 43215-7312 | 2016-03-23 |
| 1912324708 | Amanda Gibson | Ophthalmology | 2929 Kenny Rd Ste 150, Columbus, OH 43221-2458 | 2014-03-18 |
| 1396087946 | Sean Lutmer | Ophthalmology | 7667 Pine Ridge Dr, Columbus, GA 31909-2128 | 2013-03-21 |
| 1093941684 | Albert Henlay Laws | Ophthalmology | 200 4th Ave S, Columbus, MS 39701-5645 | 2009-06-09 |
| 1417131558 | Midwest Retina, Inc | Ophthalmology | 500 E Main St Ste 300, Columbus, OH 43215-5369 | 2007-12-26 |
| 1740488378 | Carissa Klaas I | Ophthalmology | 3135 Middle Dr, Columbus, IN 47203-4472 | 2007-07-05 |
| 1710050141 | Phyllis Visocan | Ophthalmology | 1669 W Lane Ave, Columbus, OH 43221-3339 | 2006-11-15 |
| 1962573808 | Heather Caroline Koelling | Ophthalmology | 2929 Kenny Road, Suite 150, Columbus, OH 43221-2415 | 2006-11-13 |
| 1265503254 | Louise Anne Doyle | Ophthalmology | 4830 Knightsbridge Blvd Ste G, Columbus, OH 43214-2300 | 2006-11-13 |
| 1114008091 | Andrea Knellinger Sawchyn | Ophthalmology | 915 Olentangy River Rd Ste 5000, Columbus, OH 43212-3154 | 2006-10-18 |
| Find all providers in COLUMBUS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.