Provider Demographics
NPI:1700161932
Name:TINYEYE THERAPY SERVICES
Entity Type:Organization
Organization Name:TINYEYE THERAPY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:GREG
Authorized Official - Middle Name:
Authorized Official - Last Name:SUTTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:306-955-1911
Mailing Address - Street 1:103-116 RESEARCH DRIVE
Mailing Address - Street 2:
Mailing Address - City:SASKATOON
Mailing Address - State:SASKATCHEWAN
Mailing Address - Zip Code:S7N 3R3
Mailing Address - Country:CA
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:103-116 RESEARCH DRIVE
Practice Address - Street 2:
Practice Address - City:SASKATOON
Practice Address - State:SASKATCHEWAN
Practice Address - Zip Code:S7N 3R3
Practice Address - Country:CA
Practice Address - Phone:306-955-1911
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-19
Last Update Date:2011-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty