Provider Demographics
NPI:1265165963
Name:NATIONS, ANNA LYNN (OD)
Entity type:Individual
Prefix:DR
First Name:ANNA
Middle Name:LYNN
Last Name:NATIONS
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 1:149 HILLCREST PL
Mailing Address - Street 2:
Mailing Address - City:BRANDON
Mailing Address - State:MS
Mailing Address - Zip Code:39042-9176
Mailing Address - Country:US
Mailing Address - Phone:601-214-4386
Mailing Address - Fax:
Practice Address - Street 1:149 HILLCREST PL
Practice Address - Street 2:
Practice Address - City:BRANDON
Practice Address - State:MS
Practice Address - Zip Code:39042-9176
Practice Address - Country:US
Practice Address - Phone:601-214-4386
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-08
Last Update Date:2022-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10591T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist