Provider Demographics
NPI:1558666289
Name:SCHRAMM, PAMELA SUZANNE (OD)
Entity Type:Individual
Prefix:DR
First Name:PAMELA
Middle Name:SUZANNE
Last Name:SCHRAMM
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:246 FEDERAL RD.
Mailing Address - Street 2:SUITE C-12
Mailing Address - City:BROOKFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06804
Mailing Address - Country:US
Mailing Address - Phone:203-775-1209
Mailing Address - Fax:203-740-8151
Practice Address - Street 1:246 FEDERAL RD.
Practice Address - Street 2:SUITE C-12
Practice Address - City:BROOKFIELD
Practice Address - State:CT
Practice Address - Zip Code:06883
Practice Address - Country:US
Practice Address - Phone:203-775-1209
Practice Address - Fax:203-740-8151
Is Sole Proprietor?:No
Enumeration Date:2011-01-11
Last Update Date:2011-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT2788152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist