Provider Demographics
NPI:1598863987
Name:MOUNTS, JANA LYNN (OD)
Entity type:Individual
Prefix:DR
First Name:JANA
Middle Name:LYNN
Last Name:MOUNTS
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 1:88906 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
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2025-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR3113T152WV0400X
NYTUV006783152WV0400X
WA60336046152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
No152WV0400XEye and Vision Services ProvidersOptometristVision Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
ORV01918Medicare UPIN
OR132475Medicare PIN