Provider Demographics
NPI:1568635878
Name:RAMOS, PRISCILLA LORAINE (OD)
Entity type:Individual
Prefix:DR
First Name:PRISCILLA
Middle Name:LORAINE
Last Name:RAMOS
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:10041 US HIGHWAY 441
Mailing Address - Street 2:SUITE E
Mailing Address - City:LEESBURG
Mailing Address - State:FL
Mailing Address - Zip Code:34788-3992
Mailing Address - Country:US
Mailing Address - Phone:352-262-7741
Mailing Address - Fax:
Practice Address - Street 1:10041 US HIGHWAY 441
Practice Address - Street 2:SUITE E
Practice Address - City:LEESBURG
Practice Address - State:FL
Practice Address - Zip Code:34788-3992
Practice Address - Country:US
Practice Address - Phone:352-323-1890
Practice Address - Fax:352-315-1169
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-08
Last Update Date:2008-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC 4264152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist