Dr. Michelle R. Trump PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG001436 Issued in PA

Legal business name

DR. MICHELLE R. TRUMP PC

Doing business as

Dr. Michelle R. Trump, PC

Practice address

750 Maple St
Bloomsburg, PA 17815-2908

Phone

(603) 630-3686

Fax

(570) 329-0190

NPI assigned

Aug 11, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Michelle Renee Trump, O.D.

Title

President

Phone

(603) 630-3686

Specialties & licenses 4

Addresses

Other names 1

• Dr. Michelle R. Trump, PC Doing business as

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390348800000",
    "number": "1619988748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 MAPLE ST",
            "city": "BLOOMSBURG",
            "state": "PA",
            "postal_code": "178152908",
            "telephone_number": "603-630-3686",
            "fax_number": "570-329-0190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 MAPLE ST",
            "city": "BLOOMSBURG",
            "state": "PA",
            "postal_code": "178152908",
            "telephone_number": "603-630-3686",
            "fax_number": "570-329-0190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. MICHELLE R. TRUMP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2014-01-22",
        "status": "A",
        "authorized_official_last_name": "TRUMP",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "603-630-3686",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OB009154",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618000608",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001436",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "NH",
            "license": "789",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Michelle R. Trump, PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David Peter Derose, OD
• Madison Dewease
• Alyssa Diehl
• Christine Ann Dopp, PA-C
• John Allen Douglas III, M.D.
• Dr. William F. Johnson
• Nicholas Drobny, OD
• Ashley Edith Drum, M.S., OTR/L
• Jennifer Lynn Dufford, CRNP
• Earl Ritter, D.C., P.C.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2014; 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.