Provider Demographics
NPI:1114950144
Name:SCHEIN ERNST MISHRA EYE PC
Entity type:Organization
Organization Name:SCHEIN ERNST MISHRA EYE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BRETT
Authorized Official - Middle Name:BERNARD
Authorized Official - Last Name:ERNST
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:717-233-3937
Mailing Address - Street 1:10 CAPITAL DRIVE
Mailing Address - Street 2:SUITE 300
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17110
Mailing Address - Country:US
Mailing Address - Phone:717-233-3937
Mailing Address - Fax:717-233-5715
Practice Address - Street 1:10 CAPITAL DR.
Practice Address - Street 2:SUITE 300
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17110
Practice Address - Country:US
Practice Address - Phone:717-233-3937
Practice Address - Fax:717-233-5715
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-10
Last Update Date:2016-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PACA3279OtherRAILROAD MEDICARE
PA678843Medicare PIN