Canyon Crest Optical

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

C65317 Issued in UT

Legal business name

CANYON CREST OPTICAL

Practice address

3200 N Canyon Rd
Suite a
Provo, UT 84604-4571

Phone

(801) 375-2026

NPI assigned

Feb 22, 2008

Organization subpart

No

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

Authorized official

Name

Sibyl B Noble, R.N.

Title

Owner

Phone

(801) 375-2026

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1203638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240444800000",
    "number": "1497924534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 N CANYON RD",
            "address_2": "SUITE A",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846044571",
            "telephone_number": "801-375-2026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 N CANYON RD",
            "address_2": "SUITE A",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846044571",
            "telephone_number": "801-375-2026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANYON CREST OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-22",
        "last_updated": "2009-04-23",
        "status": "A",
        "authorized_official_last_name": "NOBLE",
        "authorized_official_first_name": "SIBYL",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-375-2026",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "UT",
            "license": "C65317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenna Cannon
• Mary P Cannon, LCSW
• Paul Cannon, PA
• Jessica Suzan Canty
• Canyon Counseling Center, Inc
• Canyon Pharmaceutical, LLC
• Canyon Ridge Psychology LLC
• Canyon River Dental
• Canyon River Dental
• Canyon River Dental

• Eyewear Supplier in Provo, UT
• Providers in Provo, UT by specialty
• Eyewear Supplier in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2009; 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.