Healthcare Provider Details

I. General information

NPI: 1104040625
Provider Name (Legal Business Name): BERNSTEIN HILLIKER HARTZELL EYE CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/13/2007
Last Update Date: 08/18/2021
Certification Date: 08/18/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

732 CHURCH ST
DANVILLE PA
17821-1510
US

IV. Provider business mailing address

88 HARDEES DR
MIFFLINBURG PA
17844-7062
US

V. Phone/Fax

Practice location:
  • Phone: 866-995-3937
  • Fax:
Mailing address:
  • Phone: 570-966-5582
  • Fax: 570-966-5586

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: SHELLEY RINE
Title or Position: VICE PRESIDENT/COO
Credential:
Phone: 570-966-5582