MEDICARE: BERNSTEIN HILLIKER HARTZELL EYE CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician
2	152W00000X	Optometrist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1684775	OTHER	PA	HIGHMARK

General Provider Information

NPI Number	:	1104040625
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BERNSTEIN HILLIKER HARTZELL EYE CENTER

Provider Business Mailing Address
First Line	:	88 HARDEES DR
Second Line	:
City	:	MIFFLINBURG
State	:	PA
Zip	:	17844-7062
Country	:	US
Telephone Number	:	570-966-5582
Fax Number	:	570-966-5586

Provider Business Practice Location Address
First Line	:	732 CHURCH ST
Second Line	:
City	:	DANVILLE
State	:	PA
Zip	:	17821-1510
Country	:	US
Telephone Number	:	866-995-3937
Fax Number	:

Authorized Official
Title or Position	:	VICE PRESIDENT/COO
Name	:	SHELLEY RINE
Credential	:
Telephone Number	:	570-966-5582

Provider Enumeration Date	:	04/13/2007
Last Update Date	:	08/18/2021

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