Individual provider Active NPI

Bruce L Trump, O.D.

  • Optometrist
  • Wabash, IN
National Provider Identifier
1881654564
Registry record updated Aug 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18002374A Issued in IN
Practice address
833 N Cass St
Wabash, IN 46992
Phone
(260) 563-3672
Fax
(260) 563-6534
NPI assigned
Mar 25, 2006
Last updated
Aug 15, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18002374A IN Primary

Addresses

Primary practice location

833 N Cass St
Wabash, IN 46992

Mailing address

PO Box 549
Wabash, IN 46992-0549
Phone (260) 569-9550

Other identifiers 1

IdentifierTypeStateIssuer
100195980MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20100209000577 IN Practitioner - Optometry 3971490236 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 1989
Medicare assignment
May accept Medicare assignment
Group practices
Midwest Eye Consultants PCGroup PAC ID 2961399217, 71 clinicians

Practice addresses (Care Compare)

1240 Medical Park Dr
Fort Wayne, IN 46825-5888
Phone (260) 471-2375

833 N Cass St
Wabash, IN 46992-1613

835 N Cass St
Wabash, IN 46992-1613

Merit-based Incentive Payment System (MIPS)

Final score
55.99 of 100Reported as group
Quality
31.67
Improvement activities
40
Cost
78.58

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18002374AINMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Eye Consultants, P.C. Optometrist CurrentSince Jul 1, 2012 Accepting new patients
Midwest Eye Consultants, P.C. CurrentSince Jan 31, 1992 Accepting new patients
Midwest Eye Consultants, P.C. PastSince Jan 31, 1992 Accepting new patients
Midwest Eye Consultants, P.C. PastSince Jan 31, 1992 Accepting new patients
Midwest Eye Consultants, PC Optometrist PastSince Jan 31, 1992 Accepting new patients
Midwest Eye Consultants, P.C. Optometrist PastSince Jan 31, 1992 Accepting new patients
Midwest Eye Consultants, PC Optometrist PastSince Jan 31, 1992 Accepting new patients
Midwest Eye Consultants, P.C. PastSince Jan 31, 1992 Accepting new patients
Midwest Eye Consultants, P.C. PastSince Jan 31, 1992 Accepting new patients
Midwest Eye Consultants, PC Optometrist PastSince Jan 31, 1992 Accepting new patients
Midwest Eye Consultants, PC Optometrist PastSince Jan 31, 1992 Accepting new patients
Midwest Eye Consultants, P.C. Optometrist PastSince Jan 31, 1992 Accepting new patients
Midwest Eye Consultants, P.C. Optometrist PastSince Jan 31, 1992 Accepting new patients
Midwest Eye Consultants, P.C. PastSince Jan 31, 1992 Accepting new patients
Midwest Eye Consultants, PC Optometrist PastSince Jan 31, 1992 Accepting new patients
Midwest Eye Consultants, P.C. Optometrist PastSince Jan 31, 1992 Accepting new patients
Midwest Eye Consultants, PC Optometrist PastSince Jan 31, 1992 Accepting new patients
Midwest Eye Consultants, P.C. PastSince Jan 31, 1992 Accepting new patients
Midwest Eye Consultants, PC Optometrist PastSince Jan 31, 1992 Accepting new patients
Midwest Eye Consultants Ohio, Inc Optometrist PastSince Dec 28, 2016 Accepting new patients
Midwest Eye Consultants, P.C. PastSince Jan 31, 1992 Accepting new patients
Midwest Eye Consultants, P.C. Optometrist PastSince Jan 31, 1992 Accepting new patients
Midwest Eye Consultants, P.C. PastSince Jan 31, 1992 Accepting new patients
Midwest Eye Consultants, PC Optometrist PastSince Jan 31, 1992 Accepting new patients
Midwest Eye Consultants, P.C. PastSince Jan 31, 1992 Accepting new patients
Midwest Eye Consultants, P.C. Optometrist PastSince Jan 31, 1992 Accepting new patients
Midwest Eye Consultants, PC PastSince Jan 31, 1992 Accepting new patients
Midwest Eye Consultants, P.C. Optometrist PastSince Jan 31, 1992 Accepting new patients

Locations

1240 Medical Park Dr
#17
Fort Wayne, IN 46825
Phone (260) 471-2375

1400 N Baldwin Ave
Marion, IN 46952
Phone (765) 664-6148

1400 N Baldwin Ave
#2
Marion, IN 46952
Phone (765) 664-6148

1201 State Road 114 E
#2507
North Manchester, IN 46962

833 N Cass St
Wabash, IN 46992
Phone (260) 563-3672

Organizations & group practices 28

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.

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1143244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534291200000",
    "number": "1881654564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 549",
            "city": "WABASH",
            "state": "IN",
            "postal_code": "469920549",
            "telephone_number": "260-569-9550",
            "fax_number": "260-569-0760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 N CASS ST",
            "city": "WABASH",
            "state": "IN",
            "postal_code": "46992",
            "telephone_number": "260-563-3672",
            "fax_number": "260-563-6534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUMP",
        "first_name": "BRUCE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-25",
        "last_updated": "2018-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18002374A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100195980",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wabash, IN

Sources for this page

Verify at the official NPI Registry.