Canyon Eyecare PLLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

CANYON EYECARE PLLC

Practice address

215 E Hawaii Ave Ste 260
Nampa, ID 83686-6011

Phone

(208) 593-7199

NPI assigned

Mar 13, 2024

Last updated

Mar 13, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kenneth M Hainsworth, MDNPI 1942290929

Title

Owner

Phone

(208) 593-7199

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/ADDEDD

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.

• Kenneth M Hainsworth, M.D.

  • Ophthalmology Physician
  • Nampa, ID
  • NPI 1942290929
  Medicare reassignment Care Compare group NPD Authorized official
• Jacob Evans

  • Ophthalmology Physician
  • Madison, WI
  • NPI 1447784384

  ID

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1710288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710288000000",
    "number": "1376302372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 E HAWAII AVE STE 260",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836866011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 E HAWAII AVE STE 260",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836866011",
            "telephone_number": "208-593-7199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANYON EYECARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-13",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A",
        "authorized_official_last_name": "HAINSWORTH",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-593-7199",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott Campbell
• Doreen Canaday, LMSW
• Robyn Ann Canepa
• Kema Cantu
• Canyon County of Cascadia, LLC (Wellspring Health & Rehabilitation of Cascadia)
• Canyon Hearing Aid Center
• Canyon Ofp, PLLC (Nava Face & Eye)
• Maria S Carbonell, MD
• Care Center Nampa Inc (Karcher Post-Acute & Rehabilitation Center)
• Ryan M Carey, MD

• Ophthalmology Physician in Nampa, ID
• Providers in Nampa, ID by specialty
• Ophthalmology Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2024; 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.