Provider Demographics
NPI:1427604933
Name:HOUSTON, ANNIE WILLIAMS (OD)
Entity Type:Individual
Prefix:
First Name:ANNIE
Middle Name:WILLIAMS
Last Name:HOUSTON
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:ANNIE
Other - Middle Name:
Other - Last Name:WILLIAMS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1950 OLD GALLOWS RD STE 520
Mailing Address - Street 2:
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22182-3970
Mailing Address - Country:US
Mailing Address - Phone:703-847-8899
Mailing Address - Fax:571-223-6780
Practice Address - Street 1:2570 NORTHSHORE BLVD STE 200
Practice Address - Street 2:
Practice Address - City:FLOWER MOUND
Practice Address - State:TX
Practice Address - Zip Code:75028-8386
Practice Address - Country:US
Practice Address - Phone:972-539-3900
Practice Address - Fax:972-539-7333
Is Sole Proprietor?:No
Enumeration Date:2019-08-12
Last Update Date:2022-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9839T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist