Organization Active NPI

Ocean Optical PLLC

  • Optometrist
  • Stuart, FL
National Provider Identifier
1033586086
Registry record updated Nov 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC 3816 Issued in FL
Legal business name
OCEAN OPTICAL PLLC
Practice address
900 SE Ocean Blvd
Suite 106 a
Stuart, FL 34994-2471
Phone
(772) 287-2663
NPI assigned
Aug 25, 2015
Last updated
Nov 3, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2015

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

Authorized official

Name
Angela Marino Schramm, O.D.NPI 1881642924
Title
Manager
Phone
(772) 323-5229

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC 3816 FL Primary

Addresses

Primary practice location

900 SE Ocean Blvd
Suite 106 a
Stuart, FL 34994-2471

Mailing address

900 SE Ocean Blvd
Suite 106 a
Stuart, FL 34994-2471
Phone (772) 287-2663

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160104000288 FL Part B Supplier - Clinic/Group Practice 2264734532 Receives reassigned benefits from 1 practitioner
Practice locations: Stuart, FL

National Provider Directory

National Provider Directory

Locations

900 SE Ocean Blvd
Ste 106A
Stuart, FL 34994
Phone (772) 287-2663

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1440460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446508800000",
    "number": "1033586086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 SE OCEAN BLVD",
            "address_2": "SUITE 106 A",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942471",
            "telephone_number": "772-287-2663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 SE OCEAN BLVD",
            "address_2": "SUITE 106 A",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942471",
            "telephone_number": "772-287-2663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEAN OPTICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-25",
        "last_updated": "2015-11-03",
        "status": "A",
        "authorized_official_last_name": "SCHRAMM",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "MARINO",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "772-323-5229",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 3816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.