Provider Demographics
NPI:1710185822
Name:BERNSTEIN, HILLIKER, HARTZELL EYE CENTER
Entity Type:Organization
Organization Name:BERNSTEIN, HILLIKER, HARTZELL EYE CENTER
Other - Org Name:THE EYE CENTER OPTICAL SHOP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRACTICE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:PAM
Authorized Official - Middle Name:
Authorized Official - Last Name:BEAVER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:570-275-9000
Mailing Address - Street 1:510 CHURCH ST
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17821-1535
Mailing Address - Country:US
Mailing Address - Phone:570-275-9000
Mailing Address - Fax:
Practice Address - Street 1:510 CHURCH ST
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:PA
Practice Address - Zip Code:17821-1535
Practice Address - Country:US
Practice Address - Phone:570-275-9000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies