Provider Demographics
NPI:1154772754
Name:WILLIAMSON, DAMARIS (OD)
Entity type:Individual
Prefix:
First Name:DAMARIS
Middle Name:
Last Name:WILLIAMSON
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:DAMARIS
Other - Middle Name:
Other - Last Name:ALVAREZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5201 BOSQUE BLVD STE 220
Mailing Address - Street 2:
Mailing Address - City:WACO
Mailing Address - State:TX
Mailing Address - Zip Code:76710-4676
Mailing Address - Country:US
Mailing Address - Phone:254-741-1022
Mailing Address - Fax:
Practice Address - Street 1:5201 BOSQUE BLVD STE 220
Practice Address - Street 2:
Practice Address - City:WACO
Practice Address - State:TX
Practice Address - Zip Code:76710-4676
Practice Address - Country:US
Practice Address - Phone:254-741-1022
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-24
Last Update Date:2025-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8933T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist