Provider Demographics
NPI:1407965049
Name:VELEZ, DAMARILY (OD)
Entity Type:Individual
Prefix:DR
First Name:DAMARILY
Middle Name:
Last Name:VELEZ
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3912 GARDENIA LN
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070-4669
Mailing Address - Country:US
Mailing Address - Phone:972-540-9565
Mailing Address - Fax:
Practice Address - Street 1:1145 14TH ST
Practice Address - Street 2:SUITE 2115
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75074-1119
Practice Address - Country:US
Practice Address - Phone:972-424-7236
Practice Address - Fax:972-423-0614
Is Sole Proprietor?:No
Enumeration Date:2006-08-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6548T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist