Trappe Family Eyecare, Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG-000634 Issued in PA

Legal business name

TRAPPE FAMILY EYECARE, INC

Practice address

130 W Main St Ste 142
Trappe, PA 19426-2025

Phone

(610) 831-8060

Fax

(610) 831-8061

NPI assigned

Nov 1, 2006

Last updated

Aug 12, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Tressa Mary Malikkal, O.D.NPI 1902983208

Title

President

Phone

(610) 831-8060

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tressa Mary Malikkal, O.D.

  • Optometrist
  • Trappe, PA
  • NPI 1902983208
  Authorized official Same address or phone

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281571200000",
    "number": "1407933682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 W MAIN ST STE 142",
            "city": "TRAPPE",
            "state": "PA",
            "postal_code": "194262025",
            "telephone_number": "610-831-8060",
            "fax_number": "610-831-8061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 W MAIN ST STE 142",
            "city": "TRAPPE",
            "state": "PA",
            "postal_code": "194262025",
            "telephone_number": "610-831-8060",
            "fax_number": "610-831-8061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRAPPE FAMILY EYECARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2010-08-12",
        "status": "A",
        "authorized_official_last_name": "MALIKKAL",
        "authorized_official_first_name": "TRESSA",
        "authorized_official_middle_name": "MARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-831-8060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG-000634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Geetha Srinivasan, DMD
• Rebecca Magill Sturner, R.N.
• Douglas R Swede, DC
• Total Body Wellness
• Trappe Family Dental Associates, LLC
• Trappe Fire Company No 1
• Tifane De Los Reyes Visitacion-Voras, MSN BSN RN PMHNP-BC
• Melissa Ann Volk, DPT
• Adrianne Wagner, LMFT
• Kenneth A Ward, D.C.

• Optometrist in Trappe, PA
• Providers in Trappe, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.