Provider Demographics
NPI:1700095098
Name:BERNSTEIN HILLIKER HARTZELL OPTICAL SHOP
Entity Type:Organization
Organization Name:BERNSTEIN HILLIKER HARTZELL OPTICAL SHOP
Other - Org Name:THE EYE CENTER OF CENTRAL PA OPTICAL SHOP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:LEAD OPTICIAN
Authorized Official - Prefix:MS
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:YINGLING
Authorized Official - Suffix:
Authorized Official - Credentials:ABOC
Authorized Official - Phone:866-995-3937
Mailing Address - Street 1:732 CHURCH ST
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17821-1510
Mailing Address - Country:US
Mailing Address - Phone:570-275-9003
Mailing Address - Fax:
Practice Address - Street 1:732 CHURCH ST
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:PA
Practice Address - Zip Code:17821-1510
Practice Address - Country:US
Practice Address - Phone:570-275-9003
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BERNSTEIN HILLIKER HARTZELL EYE CENTER, LLP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-05-22
Last Update Date:2022-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA4684830005Medicare NSC