Organization
CANYON EYE ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL E ALWOOD (PRACTICE ADMINISTRATOR)
(614) 866-9134
Entity
Organization
Contact information
Practice address
245 TAYLOR STATION RD, COLUMBUS, OH 43213-4400
(614) 866-9134
(614) 866-6964
Mailing address
245 TAYLOR STATION RD STE 150, COLUMBUS, OH 43213-4400
(614) 866-9134
(614) 866-6964
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000160740
ANTHEM BC BS
OH
05
—
2015616
—
OH
01
—
31089242493-00
BUREAU OF WORKERS COMP
OH
Enumeration date
09/12/2005
Last updated
02/27/2025
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