Organization Name: | BERNSTEIN HILLIKER HARTZELL OPTICAL SHOP |
NPI Number: | 1861764888 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ANTHONY BONANNO (MANAGER) |
Mailing Address: | 1170 State Route 487 Paxinos |
State: | PA US |
Postal Code: | 178607570 |
Phone Number: | 5702861295 |
Fax Number: | 5706483812 |
NPI Enumeration Date: | 02/07/2012 |
NPI Last Update Date: | 02/07/2012 |
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: |