Canyon Ofp, PLLC

Primary specialty

Ophthalmic Plastic and Reconstructive Surgery PhysicianTaxonomy code 207WX0200X

Legal business name

CANYON OFP, PLLC

Practice address

4405 E Flamingo Ave
Nampa, ID 83687-3113

Phone

(208) 285-6282

NPI assigned

Mar 30, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Caroline Wingsy Vargason, MDNPI 1922366251

Title

Sole Member

Phone

(208) 901-8749

Specialties & licenses 1

Addresses

Other names 1

• Nava Face & Eye Doing business as

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Practitioners 1

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

• Caroline W Vargason, MD,

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Nampa, ID
  • NPI 1922366251

  Single Specialty

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1648598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648598400000",
    "number": "1366182255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490 E SUNNYRIDGE CT",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837026542",
            "telephone_number": "208-901-8749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4405 E FLAMINGO AVE",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836873113",
            "telephone_number": "208-285-6282"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1615 12th Ave Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Nampa",
            "state": "ID",
            "postal_code": "836866184",
            "country_code": "US",
            "telephone_number": "208-285-6282",
            "fax_number": "208-807-2331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CANYON OFP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-30",
        "last_updated": "2022-03-30",
        "certification_date": "2022-03-30",
        "status": "A",
        "authorized_official_last_name": "VARGASON",
        "authorized_official_first_name": "CAROLINE",
        "authorized_official_middle_name": "WINGSY",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "208-901-8749",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207WX0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nava Face & Eye",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robyn Ann Canepa
• Kema Cantu
• Canyon County of Cascadia, LLC
• Canyon Eyecare PLLC
• Canyon Hearing Aid Center
• Maria S Carbonell, MD
• Care Center Nampa Inc
• Ryan M Carey, MD
• Krista Carico, DOCTOR OF PHARMACY
• Carrie Alicia Carlisle, LMSW

• Ophthalmic Plastic and Reconstructive Surgery Physician in Nampa, ID
• Providers in Nampa, ID by specialty
• Ophthalmic Plastic and Reconstructive Surgery Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2022; 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.