Healthcare Provider Details

I. General information

NPI: 1700095098
Provider Name (Legal Business Name): BERNSTEIN HILLIKER HARTZELL OPTICAL SHOP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2007
Last Update Date: 01/13/2022
Certification Date: 01/13/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

732 CHURCH ST
DANVILLE PA
17821-1510
US

IV. Provider business mailing address

732 CHURCH ST
DANVILLE PA
17821-1510
US

V. Phone/Fax

Practice location:
  • Phone: 570-275-9003
  • Fax:
Mailing address:
  • Phone: 570-275-9003
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name: MS. CHRISTINE YINGLING
Title or Position: LEAD OPTICIAN
Credential: ABOC
Phone: 866-995-3937