Canyon Eye Associates, Inc.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

CANYON EYE ASSOCIATES, INC.

Practice address

245 Taylor Station Rd
Columbus, OH 43213-4400

Phone

(614) 866-9134

Fax

(614) 866-6964

NPI assigned

Sep 12, 2005

Organization subpart

No

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

Authorized official

Name

Crystal E Alwood

Title

Practice Administrator

Phone

(614) 866-9134

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Aaron Christopher Mack, MD

  • Ophthalmology Physician
  • Columbus, OH
  • NPI 1225023047
  Medicare reassignment Care Compare group NPD
• Laurence Rahardjanoto, O.D.

  • Optometrist
  • Columbus, OH
  • NPI 1689030413
  Medicare reassignment Care Compare group NPD
• Jennifer Hwei-Tan Young, MD

  • Ophthalmology Physician
  • Columbus, OH
  • NPI 1275528010
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1126483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740614400000",
    "number": "1235124728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 TAYLOR STATION RD STE 150",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432134400",
            "telephone_number": "614-866-9134",
            "fax_number": "614-866-6964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 TAYLOR STATION RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432134400",
            "telephone_number": "614-866-9134",
            "fax_number": "614-866-6964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANYON EYE ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-12",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A",
        "authorized_official_last_name": "ALWOOD",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "614-866-9134"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUREAU OF WORKERS COMP",
            "identifier": "31089242493-00",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2015616",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC BS",
            "identifier": "000000160740",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tara Canty Patterson, LPN
• De Von Dejarnette Canty
• Ryan M. Cantzler, M.D.
• Paula Canup, PTA
• Mindy Jo Canupp, OTR/L
• Canyon Eye Optical LLC
• Canyon Medical Center Inc
• Canyon Medical Center, Inc.
• Bachvan Thi Cao, RPH
• Lei Cao, MSW, LISW-S

• Ophthalmology Physician in Columbus, OH
• Providers in Columbus, OH by specialty
• Ophthalmology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2025; 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.