Individual provider Active NPI

Rachel Fritz Kishel, OD

  • Optometrist
  • Lewisburg, PA
National Provider Identifier
1245646561
Registry record updated Jan 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG002941 Issued in PA
Practice address
137 JPM Rd
Lewisburg, PA 17837-9313
Phone
(866) 995-3937
NPI assigned
Jul 8, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG002941 PA Primary

Addresses

Primary practice location

137 JPM Rd
Lewisburg, PA 17837-9313

Mailing address

88 Hardees Dr
Mifflinburg, PA 17844-7062
Phone (570) 966-5582

Other practice location 1

88 Hardees Dr
Mifflinburg, PA 17844-7062
Phone (570) 966-5582

Other identifiers 1

IdentifierTypeStateIssuer
103005513MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address RFritz@eccpa.ecldirect.net Direct BERNSTEIN, HILLIKER, HARTZELL EYE CENTER, LLP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140927000055 PA Practitioner - Optometry 3375763295 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

137 JPM Rd
Lewisburg, PA 17837-9313
Phone (866) 995-3937

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG002941PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Bernstein Hilliker Hartzell Eye Center LLP CurrentSince Aug 1, 2014 Accepting new patients
Bernstein, Hilliker, Hartzell Eye Center, LLP Optometrist CurrentSince Aug 1, 2014 Accepting new patients
Bernstein Hilliker Hartzell Eye Center, LLP Optometrist Past Accepting new patients

Locations

137 Jpm Rd
Lewisburg, PA 17837
Phone 5705233288105

88 Hardees Dr
Mifflinburg, PA 17844
Phone (570) 538-6002

Interoperability endpoints

  • Direct secure messaging: rfritz@eccpa.intellechartdirect.net
  • Direct secure messaging: rfritz@eccpa.ecldirect.net

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1404777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609977600000",
    "number": "1245646561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 HARDEES DR",
            "city": "MIFFLINBURG",
            "state": "PA",
            "postal_code": "178447062",
            "telephone_number": "570-966-5582",
            "fax_number": "570-966-5586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 JPM RD",
            "city": "LEWISBURG",
            "state": "PA",
            "postal_code": "178379313",
            "telephone_number": "866-995-3937"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "88 Hardees Dr",
            "address_purpose": "LOCATION",
            "city": "Mifflinburg",
            "state": "PA",
            "postal_code": "178447062",
            "country_code": "US",
            "telephone_number": "570-966-5582",
            "fax_number": "570-966-5586",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRITZ KISHEL",
        "first_name": "RACHEL",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-08",
        "last_updated": "2021-01-07",
        "certification_date": "2021-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG002941",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103005513",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "RFritz@eccpa.ecldirect.net",
            "affiliation": "Y",
            "affiliationName": "BERNSTEIN, HILLIKER, HARTZELL EYE CENTER, LLP",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "137 Jpm Rd",
            "city": "Lewisburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "178379313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lewisburg, PA

Sources for this page

Verify at the official NPI Registry.