Provider Demographics
NPI:1518367747
Name:THE BERNSTEIN HILLIKER HARTZELL OPTICAL SHOP
Entity Type:Organization
Organization Name:THE BERNSTEIN HILLIKER HARTZELL OPTICAL SHOP
Other - Org Name:THE EYE CENTER OPTICAL SHOP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SHELLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:RINE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:570-966-5582
Mailing Address - Street 1:88 HARDEES DR
Mailing Address - Street 2:
Mailing Address - City:MIFFLINBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17844-7062
Mailing Address - Country:US
Mailing Address - Phone:866-995-3937
Mailing Address - Fax:814-548-0703
Practice Address - Street 1:205 PARK PL
Practice Address - Street 2:
Practice Address - City:BELLEFONTE
Practice Address - State:PA
Practice Address - Zip Code:16823-2557
Practice Address - Country:US
Practice Address - Phone:814-548-0603
Practice Address - Fax:814-548-0703
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BERNSTEIN HILLIKER HARTZELL EYE CENTER, LLP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-08-25
Last Update Date:2022-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment