Organization Name: | JANA L. MOUNTS O.D. INC. |
NPI Number: | 1013182229 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JANA L. MOUNTS (PRESIDENT) |
Mailing Address: | 2927 S.e. 73rd Ave Hillsboro |
State: | OR US |
Postal Code: | 97123 |
Phone Number: | 5035910591 |
Fax Number: | 5035910511 |
NPI Enumeration Date: | 04/29/2008 |
NPI Last Update Date: | 04/29/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332H00000X |
License Number: | 3113 AT |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Eyewear Supplier (Equipment, not the service) |
Taxonomy Specialization: | |
Taxonomy Definition: | An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |