Provider Demographics
NPI:1497139877
Name:ARMSTRONG, ANNA P (OD)
Entity Type:Individual
Prefix:MRS
First Name:ANNA
Middle Name:P
Last Name:ARMSTRONG
Suffix:
Gender:F
Credentials:OD
Other - Prefix:MISS
Other - First Name:ANNA
Other - Middle Name:K
Other - Last Name:PATTERSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:100 HOSPITAL DR W
Mailing Address - Street 2:
Mailing Address - City:HATTIESBURG
Mailing Address - State:MS
Mailing Address - Zip Code:39402-1334
Mailing Address - Country:US
Mailing Address - Phone:601-268-5910
Mailing Address - Fax:601-264-0659
Practice Address - Street 1:6080 U S HIGHWAY 98
Practice Address - Street 2:
Practice Address - City:HATTIESBURG
Practice Address - State:MS
Practice Address - Zip Code:39402-8854
Practice Address - Country:US
Practice Address - Phone:601-450-0270
Practice Address - Fax:601-450-0273
Is Sole Proprietor?:No
Enumeration Date:2015-07-15
Last Update Date:2017-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS924152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist