Provider Demographics
NPI:1184987950
Name:BIXLER, IRMA (OD)
Entity type:Individual
Prefix:
First Name:IRMA
Middle Name:
Last Name:BIXLER
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:IRMA
Other - Middle Name:
Other - Last Name:HASANBELLIU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:901 N RIVER RD
Mailing Address - Street 2:
Mailing Address - City:HALIFAX
Mailing Address - State:PA
Mailing Address - Zip Code:17032-8940
Mailing Address - Country:US
Mailing Address - Phone:717-896-3216
Mailing Address - Fax:717-896-3710
Practice Address - Street 1:901 N RIVER RD
Practice Address - Street 2:
Practice Address - City:HALIFAX
Practice Address - State:PA
Practice Address - Zip Code:17032-8940
Practice Address - Country:US
Practice Address - Phone:717-896-3216
Practice Address - Fax:717-896-3710
Is Sole Proprietor?:No
Enumeration Date:2012-06-18
Last Update Date:2024-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0618002141152W00000X
PAOEG002883152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist