Organization Active NPI

Brookfield Vision Care, LLC

  • Optometrist
  • Brookfield, CT
National Provider Identifier
1659659456
Registry record updated May 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
CT2788 Issued in CT
Legal business name
BROOKFIELD VISION CARE, LLC
Practice address
246 Federal Rd
Suite C-12
Brookfield, CT 06804-2647
Phone
(203) 775-1209
Fax
(203) 740-8151
NPI assigned
Jul 27, 2011
Last updated
May 22, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2012

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

Authorized official

Name
Dr. Pamela S Schramm, ODNPI 1558666289
Title
Owner
Phone
(203) 775-1209

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X CT2788 CT Primary

Addresses

Primary practice location

246 Federal Rd
Suite C-12
Brookfield, CT 06804-2647

Mailing address

246 Federal Rd
Suite C-12
Brookfield, CT 06804-2647
Phone (203) 775-1209

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120521000531 CT Part B Supplier - Clinic/Group Practice 3971766494 Receives reassigned benefits from 3 practitioners
Practice locations: Brookfield, CT

National Provider Directory

National Provider Directory

Locations

246 Federal Rd
Brookfield, CT 06804
Phone (203) 464-3337

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

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

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": "1311724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337644800000",
    "number": "1659659456",
    "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": "068042647",
            "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": "068042647",
            "telephone_number": "203-775-1209",
            "fax_number": "203-740-8151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKFIELD VISION CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-27",
        "last_updated": "2012-05-22",
        "status": "A",
        "authorized_official_last_name": "SCHRAMM",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-775-1209",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CT",
            "license": "CT2788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2012; 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.