| Organization Name: | BERNSTEIN HARTZELL HILLIKER OPTICAL SHOP |
| NPI Number: | 1588061667 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ANTHONY BONANNO (DIRECTOR) |
| Mailing Address: | 125 W Commerce St Shamokin |
| State: | PA US |
| Postal Code: | 178725233 |
| Phone Number: | 5705233937 |
| Fax Number: | 5705245279 |
| NPI Enumeration Date: | 12/04/2014 |
| NPI Last Update Date: | 12/04/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BC3200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Customized Equipment |
| Taxonomy Definition: | |