Susan Elaine Tyno, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG002115 Issued in PA

Practice address

640 Vickroy Ave
Johnstown, PA 15905-3931

Phone

(814) 341-4846

NPI assigned

Aug 13, 2008

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1218585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218585600000",
    "number": "1437305166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 VICKROY AVE",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159053931",
            "telephone_number": "814-341-4846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 VICKROY AVE",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159053931",
            "telephone_number": "814-341-4846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYNO",
        "first_name": "SUSAN",
        "middle_name": "ELAINE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-13",
        "last_updated": "2008-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG002115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ali M Tunio, MD
• Phillip J Turco, M.D.
• Shaynee Marie Turgeon, LSW
• Colin William Turnbull, PHARMD
• Lindsay Tuttle
• Mark Ujevich, DO
• Muhammad Shams Ul Haq, MD
• Kristy Lee Ulery, B.S.
• Union Orthotics & Prosthetics Co.
• United Cerebral Palsy of Southern Alleghenies Region

• Optometrist in Johnstown, PA
• Providers in Johnstown, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.