Organization Active NPI

Canyonview Family Eye Care LLC

  • Optometrist
  • Kennewick, WA
National Provider Identifier
1093868572
Registry record updated Dec 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3567TX Issued in WA
Legal business name
CANYONVIEW FAMILY EYE CARE LLC
Practice address
4309 W 27TH Place
Suite 102
Kennewick, WA 99338
Phone
(509) 737-2010
Fax
(509) 737-2012
NPI assigned
Jan 19, 2007
Last updated
Dec 1, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2008

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

Authorized official

Name
Dr. Karl B Czirr, O.D.NPI 1427007152
Title
Owner
Phone
(509) 737-2010

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3567TX WA Primary

Addresses

Primary practice location

4309 W 27TH Place
Suite 102
Kennewick, WA 99338

Mailing address

4309 W 27TH Place
Suite 102
Kennewick, WA 99338
Phone (509) 737-2010

Other identifiers 1

IdentifierTypeStateIssuer
2032530MedicaidWA

Other names 1

  • KARL B CZIRR OD, LLC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040405001461 WA Part B Supplier - Clinic/Group Practice 2365435435 Receives reassigned benefits from 1 practitioner
Practice locations: Kennewick, WA

National Provider Directory

National Provider Directory

Locations

2459 S Un St
Ste 120
Kennewick, WA 99338
Phone (509) 737-2010

2459 S Un St
Ste 120
Kennewick, WA 99338
Phone (509) 737-2010

2459 S Union Pl
Ste 120
Kennewick, WA 99338

4309 W 27th Pl
Ste 102
Kennewick, WA 99338
Phone (509) 737-2010

4309 W 27th Pl
Ste B102
Kennewick, WA 99338
Phone (509) 737-2010

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228089600000",
    "number": "1093868572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4309 W 27TH PLACE",
            "address_2": "SUITE 102",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "99338",
            "telephone_number": "509-737-2010",
            "fax_number": "509-737-2012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4309 W 27TH PLACE",
            "address_2": "SUITE 102",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "99338",
            "telephone_number": "509-737-2010",
            "fax_number": "509-737-2012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANYONVIEW FAMILY EYE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2008-12-01",
        "status": "A",
        "authorized_official_last_name": "CZIRR",
        "authorized_official_first_name": "KARL",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-737-2010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "3567TX",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2032530",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KARL B CZIRR OD, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Kennewick, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2008; 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.