Organization
TRAPPE FAMILY EYECARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRESSA MARY MALIKKAL O.D. (PRESIDENT)
(610) 831-8060
Entity
Organization
Contact information
Practice address
130 W MAIN ST STE 142, TRAPPE, PA 19426-2025
(610) 831-8060
(610) 831-8061
Mailing address
130 W MAIN ST STE 142, TRAPPE, PA 19426-2025
(610) 831-8060
(610) 831-8061
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG-000634
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1821546
—
PA
Enumeration date
11/01/2006
Last updated
08/12/2010
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