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

Organization subpart

No

Name

Dr. Tressa Mary Malikkal, O.D.

Title

President

Phone

(610) 831-8060

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 12, 2010.

{
    "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1821546",
            "state": "PA"
        }
    ],
    "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.

• All providers in Trappe, PA
• 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.