CANYON EYECARE PLLC
NPI 1376302372
Ophthalmology in Nampa, ID

Active since March 13, 2024
215 E HAWAII AVE STE 260, NAMPA, ID 83686(208) 593-7199 Get Directions Write a Review

NPPES record last updated: March 13, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Canyon Eyecare Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CANYON EYECARE PLLC (NPI 1376302372) is a healthcare organization registered as an ophthalmology in Nampa, Idaho and active in the NPI registry since March 2024. The organization lists Kenneth M Hainsworth, Owner, as its authorized official.

NPPES Registry Identity

NPI1376302372
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameCANYON EYECARE PLLC
Location Address215 E HAWAII AVE STE 260Nampa, ID 83686-6011
Mailing Address215 E Hawaii Ave Ste 260Nampa, ID 83686-6011
Organization SubpartNo
Authorized OfficialKenneth M HainsworthOwner · (208) 593-7199
Enumeration DateMarch 13, 2024
NPPES CertifiedMarch 13, 2024
✔ NPI 1376302372 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
215 E HAWAII AVE STE 260, Nampa, ID 83686

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Canyon Eyecare Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Canyon Eyecare PLLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Ophthalmology
NPI 1942290929
215 E HAWAII AVE STE 260
Nampa, ID 83686
(208) 593-7199
✔ PECOS✔ Accepts Medicare0.2 mi
Ophthalmology
NPI 1447784384
UW HOSPITALS & CLINICS 600 HIGHLAND AVE
Madison, WI 53792
(608) 263-7171
✔ PECOS✔ Accepts Medicare1,362 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Canyon Eyecare PLLC's NPI number?

The NPI number for Canyon Eyecare PLLC is 1376302372. It was assigned to this organization in the NPPES registry on March 13, 2024.

Where is Canyon Eyecare PLLC located?

Canyon Eyecare PLLC is located at 215 E Hawaii Ave Ste 260, Nampa, ID 83686. The listed phone number is (208) 593-7199.

What is Canyon Eyecare PLLC's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Canyon Eyecare PLLC enrolled in Medicare?

Yes. Canyon Eyecare PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Canyon Eyecare PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Ophthalmology, reassign their Medicare billing to Canyon Eyecare PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Canyon Eyecare PLLC accept?

Health plans from Moda Health Plan, Inc. list Canyon Eyecare PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Canyon Eyecare PLLC was last updated on March 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.