Active NPI
Abbey J Bonnell, OD
- Optometrist
- Bellefonte, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OEG002621
- Practice address
- 205 Park PL
Bellefonte, PA 16823-2557 - Phone
- (866) 995-3937
- NPI assigned
- Jun 19, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OEG002621 | PA | Primary |
Addresses
Primary practice location
205 Park PL
Bellefonte, PA 16823-2557
Mailing address
88 Hardees Dr
Mifflinburg, PA 17844-7062
Phone (570) 966-5582
Other practice location 1
435 River Ave
Williamsport, PA 17701-3722
Phone (570) 326-8070
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 102768606-0003 | Medicaid | PA |
Other names 1
- Abbey R Johnson
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ABonnell@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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
205 Park PL
Bellefonte, PA 16823-2557
Phone (866) 995-3937
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OEG002621 | PA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bernstein Hilliker Hartzell Eye Center LLP | Current | Accepting new patients | |
| Bernstein, Hilliker, Hartzell Eye Center, LLP | Optometrist | Current | Accepting new patients |
| Bernstein Hilliker Hartzell Eye Center, LLP | Optometrist | Past | Accepting new patients |
Locations
205 Park Pl
Bellefonte, PA 16823
Phone (814) 548-0603
137 Jpm Rd
Lewisburg, PA 17837
Phone 5705233288105
88 Hardees Dr
Mifflinburg, PA 17844
Phone (570) 538-6002
435 River Ave
Williamsport, PA 17701
Phone (570) 326-8070
Interoperability endpoints
- abonnell@eccpa.ecldirect.net
- abonnell@eccpa.intellechartdirect.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.
-
dba The Eye Center of Central PA
- Ophthalmology Physician
- Lewisburg, PA
- NPI 1942390745
Optometrist
-
dba The Surgery Center of Central PA
- Ambulatory Surgical Clinic/Center
- Allenwood, PA
- NPI 1245331628
-
dba The Eye Center of Central PA
- Optometrist
- Lewisburg, PA
- NPI 1275553570
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610409600000",
"number": "1306109087",
"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": "205 PARK PL",
"city": "BELLEFONTE",
"state": "PA",
"postal_code": "168232557",
"telephone_number": "866-995-3937"
}
],
"practiceLocations": [
{
"address_1": "435 River Ave",
"address_purpose": "LOCATION",
"city": "Williamsport",
"state": "PA",
"postal_code": "177013722",
"country_code": "US",
"telephone_number": "570-326-8070",
"fax_number": "570-326-0396",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BONNELL",
"first_name": "ABBEY",
"middle_name": "J",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-19",
"last_updated": "2021-01-12",
"certification_date": "2021-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PA",
"license": "OEG002621",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "102768606-0003",
"state": "PA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ABonnell@eccpa.ecldirect.net",
"affiliation": "Y",
"affiliationName": "BERNSTEIN, HILLIKER, HARTZELL EYE CENTER, LLP",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "205 Park Pl",
"city": "Bellefonte",
"state": "PA",
"country_code": "US",
"postal_code": "168232557",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "ABBEY",
"last_name": "JOHNSON",
"middle_name": "R",
"credential": "OD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Bellefonte, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.