Canyon Crest Optical

NPI #1497924534 in Provo, Utah

Provider Information

NPI Number: 1497924534
Entity Type: Organization
Organization Name: Canyon Crest Optical
Primary Specialty: Eyewear Supplier
Enumeration Date: Feb 22, 2008
Last Updated: Apr 23, 2009

Practice Location

Address: 3200 N CANYON RD
Address 2: SUITE A
City: Provo
State: Utah
ZIP Code: 84604-4571
Phone: (801) 375-2026

Authorized Official

Name: SIBYL B NOBLE, R.N.
Title: OWNER
Phone: (801) 375-2026

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X	Primary

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