Provider Demographics
NPI:1699397695
Name:PARRAMORE, JANNA LANAE (OD)
Entity Type:Individual
Prefix:DR
First Name:JANNA
Middle Name:LANAE
Last Name:PARRAMORE
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 1:7242 SW 19TH CT
Mailing Address - Street 2:
Mailing Address - City:OKEECHOBEE
Mailing Address - State:FL
Mailing Address - Zip Code:34974-3357
Mailing Address - Country:US
Mailing Address - Phone:863-801-5299
Mailing Address - Fax:
Practice Address - Street 1:606 N PARROTT AVE
Practice Address - Street 2:
Practice Address - City:OKEECHOBEE
Practice Address - State:FL
Practice Address - Zip Code:34972-2646
Practice Address - Country:US
Practice Address - Phone:863-763-3937
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-12
Last Update Date:2021-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC5782152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist