Mandy Williamson, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

7944T Issued in TX

Practice address

3323 S Loop 256
Palestine, TX 75801-6977

Phone

(903) 729-6361

NPI assigned

Nov 12, 2012

Last updated

Jul 7, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

University of Houston - College of Optometry, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Camp and Stevener, IncGroup PAC ID 6709912082, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Camp & Stevener, Inc

  • Optometrist
  • Palestine, TX
  • NPI 1437255692
  Medicare reassignment Care Compare group NPD
• Corporate Eye Care, PA

  dba Grand Vision Center

  • Optometrist
  • Katy, TX
  • NPI 1730244708
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1352678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625616000000",
    "number": "1174867352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3323 S LOOP 256",
            "city": "PALESTINE",
            "state": "TX",
            "postal_code": "758016977",
            "telephone_number": "903-729-6361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3323 S LOOP 256",
            "city": "PALESTINE",
            "state": "TX",
            "postal_code": "758016977",
            "telephone_number": "903-729-6361"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1534 S. Grand Parkway",
            "address_purpose": "LOCATION",
            "city": "Katy",
            "state": "TX",
            "postal_code": "77494",
            "country_code": "US",
            "telephone_number": "281-693-3937",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMSON",
        "first_name": "MANDY",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-12",
        "last_updated": "2021-07-07",
        "certification_date": "2021-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7944T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lloyd Michael Wilkinson, M.D.
• Williams Healtcare,Inc. (Park Terrace Nursing and Rehab)
• Jeffrey Alan Williams, PT
• Katherin C Williams, MS, LPC-S, PC
• Kathy Williams, SLP
• Willow Creek Surgery Center LP
• Alicia Danielle Wilmeth, FNP-BC
• Mallory Paige Winkler
• Kimberly Winn, NP
• Winnie-Stowell Hospital District (Avir at Town Creek)

• Optometrist in Palestine, TX
• Providers in Palestine, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.