Provider Demographics
NPI:1033549787
Name:TYNO FAMILY EYE CARE, LLC
Entity Type:Organization
Organization Name:TYNO FAMILY EYE CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:E
Authorized Official - Last Name:TYNO
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:717-632-7922
Mailing Address - Street 1:1000 CARLISLE ST STE 3
Mailing Address - Street 2:
Mailing Address - City:HANOVER
Mailing Address - State:PA
Mailing Address - Zip Code:17331-1121
Mailing Address - Country:US
Mailing Address - Phone:717-632-7922
Mailing Address - Fax:717-632-5886
Practice Address - Street 1:1000 CARLISLE ST STE 3
Practice Address - Street 2:
Practice Address - City:HANOVER
Practice Address - State:PA
Practice Address - Zip Code:17331-1121
Practice Address - Country:US
Practice Address - Phone:717-632-7922
Practice Address - Fax:717-632-5886
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-16
Last Update Date:2013-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG002115152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty