Provider Demographics
NPI:1932099041
Name:WILLIAMS, KAITLYN GRACE (OD)
Entity type:Individual
Prefix:DR
First Name:KAITLYN
Middle Name:GRACE
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6155 ECKHERT RD APT 15306
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78240-3193
Mailing Address - Country:US
Mailing Address - Phone:417-894-9631
Mailing Address - Fax:
Practice Address - Street 1:2810 N LOOP 1604 W STE 200
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78248-2230
Practice Address - Country:US
Practice Address - Phone:210-822-9800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-09
Last Update Date:2025-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11449TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist