Provider Demographics
NPI:1376642967
Name:VANCE, JANAE LEANNE (OD)
Entity Type:Individual
Prefix:DR
First Name:JANAE
Middle Name:LEANNE
Last Name:VANCE
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
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Mailing Address - Street 1:13908 WESTBURY AVE.
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93314
Mailing Address - Country:US
Mailing Address - Phone:714-458-6744
Mailing Address - Fax:661-327-4381
Practice Address - Street 1:4649 PLANZ RD
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93309-5900
Practice Address - Country:US
Practice Address - Phone:661-833-4040
Practice Address - Fax:661-833-6721
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-21
Last Update Date:2023-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA13086TLG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist