Canyon Eye Optical LLC

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

PENDING Issued in OH

Legal business name

CANYON EYE OPTICAL LLC

Practice address

245 Taylor Station Rd
Columbus, OH 43213-4400

Phone

(614) 866-9134

Fax

(614) 866-6964

NPI assigned

Aug 29, 2007

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

Practitioners 1

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.

• Jennifer Hwei-Tan Young, MD

  • Ophthalmology Physician
  • Columbus, OH
  • NPI 1275528010
  NPD

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

{
    "created_epoch": "1188345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740614400000",
    "number": "1447444757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "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"
        },
        {
            "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 OPTICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-29",
        "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": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "OH",
            "license": "PENDING",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• De Von Dejarnette Canty
• Ryan M. Cantzler, M.D.
• Paula Canup, PTA
• Mindy Jo Canupp, OTR/L
• Canyon Eye Associates, Inc.
• Canyon Medical Center Inc
• Canyon Medical Center, Inc.
• Bachvan Thi Cao, RPH
• Lei Cao, MSW, LISW-S
• Qizhi Cao, APRN-CNP

• Eyewear Supplier in Columbus, OH
• Providers in Columbus, OH by specialty
• Eyewear Supplier 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.