Canyon Lake Optical LLC

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

CANYON LAKE OPTICAL LLC

Doing business as

Canyon Lake Optical

Practice address

1387 Sattler Rd
New Braunfels, TX 78132-2305

Phone

(830) 964-2332

NPI assigned

Aug 7, 2020

Last updated

Jun 9, 2021By the provider in NPPES

Organization subpart

Yes

Parent organization

EYETOPIA OPTICS, LLCAs reported in NPPES

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

Authorized official

Name

Julia Ladd

Title

Owner

Phone

(830) 522-4069

Specialties & licenses 1

Addresses

Other names 1

• Canyon Lake Optical Doing business as

Locations

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

{
    "created_epoch": "1596758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623196800000",
    "number": "1457961096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1387 SATTLER RD UNIT A",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781322306",
            "telephone_number": "830-964-2332",
            "fax_number": "866-772-0758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1387 SATTLER RD",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781322305",
            "telephone_number": "830-964-2332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANYON LAKE OPTICAL LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EYETOPIA OPTICS, LLC",
        "enumeration_date": "2020-08-07",
        "last_updated": "2021-06-09",
        "certification_date": "2021-06-09",
        "status": "A",
        "authorized_official_last_name": "LADD",
        "authorized_official_first_name": "JULIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "830-522-4069"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Canyon Lake Optical",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Canyon Lake Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cansecos Family Transport
• Ulysees T Cantero
• Amy Cantrell
• Anna Maria Cantu, RPH
• Canyon Lake Eye Care PLLC
• Louisa Ringor Capicio, APRN FNP-BC
• Teresa Lynn Caratachea
• Kimberly Cardenas, SLP ASST
• Lindsey H Cardenas
• Ashley Lauren Cardona, NP

• Eyewear Supplier in New Braunfels, TX
• Providers in New Braunfels, TX by specialty
• Eyewear Supplier in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2021; 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.