Provider Demographics
NPI:1679971691
Name:BERNSTEIN HARTZELL HILLIKER OPTICAL SHOP
Entity Type:Organization
Organization Name:BERNSTEIN HARTZELL HILLIKER 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 1:408 MARKET ST
Mailing Address - Street 2:
Mailing Address - City:LEWISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17837-1422
Mailing Address - Country:US
Mailing Address - Phone:570-523-3937
Mailing Address - Fax:570-524-5279
Practice Address - Street 1:408 MARKET ST
Practice Address - Street 2:
Practice Address - City:LEWISBURG
Practice Address - State:PA
Practice Address - Zip Code:17837-1422
Practice Address - Country:US
Practice Address - Phone:570-523-3937
Practice Address - Fax:570-524-5279
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BERNSTEIN HILLIKER HARTZELL EYE CENTER, LLP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-12-08
Last Update Date:2022-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment