Healthcare Provider Details

I. General information

NPI: 1881642924
Provider Name (Legal Business Name): ANGELA SCHRAMM O.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/04/2006
Last Update Date: 03/22/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 SE OCEAN BLVD SUITE 106A
STUART FL
34994-2471
US

IV. Provider business mailing address

900 SE OCEAN BLVD SUITE 106A
STUART FL
34994-2471
US

V. Phone/Fax

Practice location:
  • Phone: 772-287-2663
  • Fax: 772-781-6797
Mailing address:
  • Phone: 772-287-2663
  • Fax: 772-781-6797

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code152WC0802X
TaxonomyCorneal and Contact Management Optometrist
License NumberOPC3816
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberFL3816
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: