MEDICARE: BERNSTEIN HILLIKER HARTZELL OPTICAL SHOP

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	332BC3200X	Customized Equipment (DME)

General Provider Information

NPI Number	:	1700095098
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BERNSTEIN HILLIKER HARTZELL OPTICAL SHOP

Provider Business Mailing Address
First Line	:	732 CHURCH ST
Second Line	:
City	:	DANVILLE
State	:	PA
Zip	:	17821-1510
Country	:	US
Telephone Number	:	570-275-9003
Fax Number	:

Provider Business Practice Location Address
First Line	:	732 CHURCH ST
Second Line	:
City	:	DANVILLE
State	:	PA
Zip	:	17821-1510
Country	:	US
Telephone Number	:	570-275-9003
Fax Number	:

Authorized Official
Title or Position	:	LEAD OPTICIAN
Name	:	MS. CHRISTINE YINGLING
Credential	:	ABOC
Telephone Number	:	866-995-3937

Provider Enumeration Date	:	05/22/2007
Last Update Date	:	01/13/2022

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