Provider Demographics
NPI:1578600425
Name:JONES, LINDA ANDERSON (OD)
Entity Type:Individual
Prefix:DR
First Name:LINDA
Middle Name:ANDERSON
Last Name:JONES
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 1:1344 EDMUNDSON RD
Mailing Address - Street 2:
Mailing Address - City:PROSPECT
Mailing Address - State:TN
Mailing Address - Zip Code:38477-6417
Mailing Address - Country:US
Mailing Address - Phone:931-363-7478
Mailing Address - Fax:
Practice Address - Street 1:7500 MEMORIAL PKWY SW
Practice Address - Street 2:SUITE 118
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35802-2227
Practice Address - Country:US
Practice Address - Phone:256-593-9937
Practice Address - Fax:256-539-3333
Is Sole Proprietor?:No
Enumeration Date:2007-01-31
Last Update Date:2012-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALS-578-TA-147152W00000X
TN1004152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist