Provider Demographics
NPI:1972485290
Name:JANA L. MOUNTS, OD, PLLC
Entity type:Organization
Organization Name:JANA L. MOUNTS, OD, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JANA
Authorized Official - Middle Name:
Authorized Official - Last Name:MOUNTS
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:503-502-2176
Mailing Address - Street 1:88906 E SUMMIT VIEW DR
Mailing Address - Street 2:
Mailing Address - City:KENNEWICK
Mailing Address - State:WA
Mailing Address - Zip Code:99338-9330
Mailing Address - Country:US
Mailing Address - Phone:503-502-2176
Mailing Address - Fax:
Practice Address - Street 1:3125 QUEENSGATE DR
Practice Address - Street 2:
Practice Address - City:RICHLAND
Practice Address - State:WA
Practice Address - Zip Code:99352-9127
Practice Address - Country:US
Practice Address - Phone:509-579-3925
Practice Address - Fax:509-579-3924
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:JANA L. MOUNTS, OD, PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-07-25
Last Update Date:2025-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center