Individual provider Active NPI

Christine Gonzales Shifflet, OD

  • Optometrist
  • Williamsport, PA
National Provider Identifier
1932752094
Registry record updated Jan 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG003555 Issued in PA
Practice address
435 River Ave
Williamsport, PA 17701-3722
Phone
(866) 995-3937
NPI assigned
Jul 18, 2019
Last updated
Jan 6, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 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 OEG003555 PA Primary

Addresses

Primary practice location

435 River Ave
Williamsport, PA 17701-3722

Mailing address

66 Enterprise Blvd
Allenwood, PA 17810-9260
Phone (570) 538-6002

Other names 1

  • Dr. Christine Gonzales Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address christinegonzales@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
I20190822000882 PA Practitioner - Optometry 9032447578 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

732 Church St
Danville, PA 17821-1510
Phone (866) 995-3937

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG003555PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Bernstein Hilliker Hartzell Eye Center LLP CurrentSince Jul 23, 2019 Accepting new patients
Bernstein, Hilliker, Hartzell Eye Center, LLP Optometrist CurrentSince Jul 23, 2019 Accepting new patients
Bernstein Hilliker Hartzell Eye Center, LLP Optometrist Past Accepting new patients

Locations

66 Enterprise Blvd
Allenwood, PA 17810
Phone (570) 538-2451

732 Church St
Danville, PA 17821
Phone (570) 275-9003

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

  • Direct secure messaging: cgonzales@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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1563408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609891200000",
    "number": "1932752094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 ENTERPRISE BLVD",
            "city": "ALLENWOOD",
            "state": "PA",
            "postal_code": "178109260",
            "telephone_number": "570-538-6002",
            "fax_number": "570-538-1969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 RIVER AVE",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177013722",
            "telephone_number": "866-995-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALES SHIFFLET",
        "first_name": "CHRISTINE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-18",
        "last_updated": "2021-01-06",
        "certification_date": "2021-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG003555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "christinegonzales@eccpa.ecldirect.net",
            "affiliation": "Y",
            "affiliationName": "BERNSTEIN, HILLIKER, HARTZELL EYE CENTER, LLP",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "435 River Ave",
            "city": "Williamsport",
            "state": "PA",
            "country_code": "US",
            "postal_code": "177013722",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CHRISTINE",
            "last_name": "GONZALES",
            "prefix": "DR.",
            "credential": "OD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Williamsport, PA

Sources for this page

Verify at the official NPI Registry.