Individual provider Active NPI

Pamela Suzanne Schramm, O.D.

  • Optometrist
  • Brookfield, CT
National Provider Identifier
1558666289
Registry record updated Jan 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2788 Issued in CT
Practice address
246 Federal Rd.
Suite C-12
Brookfield, CT 06883
Phone
(203) 775-1209
Fax
(203) 740-8151
NPI assigned
Jan 11, 2011
Last updated
Jan 11, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2788 CT Primary

Addresses

Primary practice location

246 Federal Rd.
Suite C-12
Brookfield, CT 06883

Mailing address

246 Federal Rd.
Suite C-12
Brookfield, CT 06804
Phone (203) 775-1209

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20120523000589 CT Practitioner - Optometry 6608039953 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brookfield Vision Care, LLCGroup PAC ID 3971766494, 3 clinicians

Practice addresses (Care Compare)

246 Federal Rd
Suite a 11
Brookfield, CT 06804-2647
Phone (203) 775-1209

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Brookfield Vision Care, LLC Optometrist CurrentSince Sep 11, 2011 Accepting new patients
Clarkson Optometry Georgia Inc Optometrist Past Accepting new patients
B.Dean Mobley, O.D., P.C. Optometrist PastSince Jan 9, 2019 Accepting new patients
200 West Optics, LLC Optometrist PastSince Sep 11, 2011 Accepting new patients

Locations

246 Federal Rd
Ste A11
Brookfield, CT 06804
Phone (203) 775-1209

246 Federal Rd
Ste C12
Brookfield, CT 06804
Phone (203) 775-1209

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/ecp_cecga

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1294704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294704000000",
    "number": "1558666289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 FEDERAL RD.",
            "address_2": "SUITE C-12",
            "city": "BROOKFIELD",
            "state": "CT",
            "postal_code": "06804",
            "telephone_number": "203-775-1209",
            "fax_number": "203-740-8151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 FEDERAL RD.",
            "address_2": "SUITE C-12",
            "city": "BROOKFIELD",
            "state": "CT",
            "postal_code": "06883",
            "telephone_number": "203-775-1209",
            "fax_number": "203-740-8151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHRAMM",
        "first_name": "PAMELA",
        "middle_name": "SUZANNE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-11",
        "last_updated": "2011-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "2788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookfield, CT

Sources for this page

Verify at the official NPI Registry.