Provider Demographics
NPI:1265682876
Name:SCHRAMM, NATHAN H (OD)
Entity Type:Individual
Prefix:DR
First Name:NATHAN
Middle Name:H
Last Name:SCHRAMM
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:NATHAN
Other - Middle Name:JAMES
Other - Last Name:SANDERSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3151 AIRWAY AVE STE M3
Mailing Address - Street 2:
Mailing Address - City:COSTA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:92626-4626
Mailing Address - Country:US
Mailing Address - Phone:714-486-3315
Mailing Address - Fax:714-486-3071
Practice Address - Street 1:3151 AIRWAY AVE STE M3
Practice Address - Street 2:
Practice Address - City:COSTA MESA
Practice Address - State:CA
Practice Address - Zip Code:92626-4626
Practice Address - Country:US
Practice Address - Phone:714-486-3315
Practice Address - Fax:714-486-3071
Is Sole Proprietor?:No
Enumeration Date:2008-09-19
Last Update Date:2023-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC4407152W00000X
CA34766-TLG152WC0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management
No152W00000XEye and Vision Services ProvidersOptometrist