Mandy Williamson, OD
Individual provider Active NPI Optometrist · Palestine, TX
NPI 1174867352 · NPPES record last updated Jul 7, 2021
Key facts
- NPI
- 1174867352
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 7944T (TX)
- Practice address
- 3323 S Loop 256
Palestine, TX 75801-6977 - Phone
- (903) 729-6361
- NPI assigned
- Nov 12, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- 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, Inc
Practice addresses (Care Compare)
3323 S Loop
Suite 256
Palestine, TX 75801-6977
Phone (903) 729-6361
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 11 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130227000144 | TX | Practitioner - Optometry | 6901051846 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Camp & Stevener, Inc | Optometrist | Current |
Accepting new patients |
| Corporate Eye Care, PA | Optometrist | Past | Accepting new patients |
Locations
3323 S Loop 256
Palestine, TX 75801
Phone (903) 723-1010
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 7944T | TX | Yes |
Addresses
Primary practice location
3323 S Loop 256
Palestine, TX 75801-6977
Mailing address
3323 S Loop 256
Palestine, TX 75801-6977
Phone (903) 729-6361
Other practice location 1
1534 S. Grand Parkway
Katy, TX 77494
Phone (281) 693-3937
Other providers in Palestine, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 7, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.