Individual provider Active NPI

Rebecca Jane Simmons Brown, OD

  • Optometrist
  • Fayetteville, AR
National Provider Identifier
1023897253
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2880 Issued in AR
Practice address
594 E Millsap Rd
Fayetteville, AR 72703-4096
Phone
(479) 442-2020
Fax
(479) 521-3988
NPI assigned
Sep 26, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2880 AR Primary

Addresses

Primary practice location

594 E Millsap Rd
Fayetteville, AR 72703-4096

Mailing address

594 E Millsap Rd
Fayetteville, AR 72703-4096
Phone (479) 442-2020

Other names 1

  • Rebecca Jane Simmons Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240412003067 AR Practitioner - Optometry 5597104323 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Boozman-Hof Regional Eye Clinic PA 12 clinicians
Eye Center PA 8 clinicians

Practice addresses (Care Compare)

3737 W Walnut St
Rogers, AR 72756-1839
Phone (479) 246-1700

594 E Millsap Rd
Fayetteville, AR 72703-4096
Phone 4794422020107

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2880ARMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Boozman-Hof Regional Eye Clinic PA Optometrist CurrentSince Aug 20, 2024 Accepting new patients
Mertins Family Eye Care, Inc. Optometrist CurrentSince Mar 24, 2024 Accepting new patients
Eye Center, PA Optometrist CurrentSince Sep 2, 2025 Accepting new patients

Locations

25 Cunningham Cor
Bella Vista, AR 72714
Phone (479) 246-1700

594 E Millsap Rd
Fayetteville, AR 72703
Phone (479) 442-2020

640 N Garland Ave
Ste 110
Fayetteville, AR 72701
Phone (479) 442-8400

3737 W Walnut St
Rogers, AR 72756
Phone (479) 246-1700

Interoperability endpoints

  • Direct secure messaging: rsbrown@bhrec.intellechartdirect.net

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1695686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788912000000",
    "number": "1023897253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "594 E MILLSAP RD",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727034096",
            "telephone_number": "479-442-2020",
            "fax_number": "479-521-3988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "594 E MILLSAP RD",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727034096",
            "telephone_number": "479-442-2020",
            "fax_number": "479-521-3988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS BROWN",
        "first_name": "REBECCA",
        "middle_name": "JANE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-26",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "SIMMONS",
            "middle_name": "JANE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fayetteville, AR

Sources for this page

Verify at the official NPI Registry.