Healthcare Provider Details

I. General information

NPI: 1972485290
Provider Name (Legal Business Name): JANA L. MOUNTS, OD, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/25/2025
Last Update Date: 07/25/2025
Certification Date: 07/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3125 QUEENSGATE DR
RICHLAND WA
99352-9127
US

IV. Provider business mailing address

88906 E SUMMIT VIEW DR
KENNEWICK WA
99338-9330
US

V. Phone/Fax

Practice location:
  • Phone: 509-579-3925
  • Fax: 509-579-3924
Mailing address:
  • Phone: 503-502-2176
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JANA MOUNTS
Title or Position: OWNER
Credential: OD
Phone: 503-502-2176