Provider Demographics
NPI:1912094723
Name:COX, ANNE C (OD)
Entity Type:Individual
Prefix:DR
First Name:ANNE
Middle Name:C
Last Name:COX
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:ANNE
Other - Middle Name:C
Other - Last Name:CLOUSER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:PO BOX 851616
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36685-1616
Mailing Address - Country:US
Mailing Address - Phone:251-650-2020
Mailing Address - Fax:
Practice Address - Street 1:601 PROVIDENCE PARK DR E
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36695-4617
Practice Address - Country:US
Practice Address - Phone:251-650-2020
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2012-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALR146-TA679152W00000X
LA1044-282T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1969338Medicaid
LA49210Medicare ID - Type Unspecified
LAU17398Medicare UPIN