MANDY WILLIAMSON (OD) – Optometrist, NPI 1174867352

MANDY WILLIAMSON (OD) is a healthcare provider. based in Palestine, Texas. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 7944T (TX). The NPI Number for MANDY WILLIAMSON (OD) is 1174867352

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
MANDY WILLIAMSON (OD)
NPI
1174867352
Phone
(903) 729-6361
Address
3323 S LOOP 256
Enumeration Date
12 November 2012
Last Update Date
7 July 2021

Doctor Profile

Medical School Name
UNIVERSITY OF HOUSTON - COLLEGE OF OPTOMETRY
Secondary Phone
9037296361
Graduation Year
2012 (14 years ago)
PAC ID
6901051846
Group Practice PAC ID
6709912082
Professional Enrollment ID
I20130227000144
Address ID
TX758016977PA3323XLOOP301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:13State licenses:1Digital endpointsOther names

3,129 OPTOMETRY in TX

Provider Addresses for MANDY WILLIAMSON (OD)

  • 3323 S LOOP 256

    PALESTINE, TX 758016977

    Phone: (903) 729-6361

    Type: Location

  • 1534 S. Grand Parkway

    Katy, TX 77494

    Phone: (281) 693-3937

    Type: Location

  • 1534 S. GRAND PARKWAY

    KATY, TX 77494

    Phone: (281) 693-3937

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2013-02-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20130227000144IOptometryTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92012Established patient problem focused exam of visual system302202$0
92250Photography of the retina233228$0
92014Established patient complete exam of visual system7373$0
92083Exam of visual field with extended testing4947$0
92133Imaging of optic nerve4746$0
View full utilization report →

Insurance plans in this area (ZIP 75801)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6709912082View full group profile
NameSpecialtyState
O P T O M E T R YTX

Reviews

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Frequently asked questions

Can I cross-check MANDY WILLIAMSON (OD) using NPI 1174867352?
NPI 1174867352 belongs to MANDY WILLIAMSON (OD); compare other details if you need extra assurance.
Would MANDY WILLIAMSON (OD) appear as active to a payer?
You can treat MANDY WILLIAMSON (OD) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with MANDY WILLIAMSON (OD)?
MANDY WILLIAMSON (OD)'s record emphasizes Optometrist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for MANDY WILLIAMSON (OD)?
Travel planning: use Palestine, Texas as the reference point for MANDY WILLIAMSON (OD), then confirm.
What does 5 location(s) imply?
5 practice locations appear in the available data.

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