Individual provider Active NPI

Rebecca Joy Sims, OD

  • Optometrist
  • Tampa, FL
National Provider Identifier
1396708376
Registry record updated Jan 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0PC3618 Issued in FL
Practice address
501 N Howard Ave Ste 100
Tampa, FL 33606-1213
Phone
(727) 581-8706
Fax
(727) 588-2447
NPI assigned
Apr 10, 2006
Last updated
Jan 31, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0PC3618 FL Primary

Addresses

Primary practice location

501 N Howard Ave Ste 100
Tampa, FL 33606-1213

Mailing address

501 N Howard Ave Ste 100
Tampa, FL 33606-1213
Phone (727) 581-8706

Other practice location 1

11925 Sheldon Rd
Tampa, FL 33626-3644
Phone (727) 581-8706

Other practice location 2

6133 Central Ave
Saint Petersburg, FL 33710-8529
Phone (727) 581-8706

Other identifiers 2

IdentifierTypeStateIssuer
620696400MedicaidFL
20995OtherFLBLUE CROSS

Other names 1

  • Dr. Rebecca Joy Walters Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20100204000266 FL Practitioner - Optometry 9739222316 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

420 W Platt St
Tampa, FL 33606-2244
Phone (813) 303-0941

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0PC3618FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Rebecca J Sims OD PA Optometrist CurrentSince Jan 13, 2023 Accepting new patients
Rebecca Sims OD PA Optometrist CurrentSince Aug 12, 2025 Accepting new patients
Butler Optical Center,Inc Past Accepting new patients
The Eye Physicians of Pinellas, PA Past Accepting new patients
Eye Clinic of Meridian PLLC Optometrist Past Accepting new patients

Locations

3604 Madaca Ln
Tampa, FL 33618
Phone (813) 649-3937

420 W Platt St
Tampa, FL 33606
Phone (813) 303-0941

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548892800000",
    "number": "1396708376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 N HOWARD AVE STE 100",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336061213",
            "telephone_number": "727-581-8706",
            "fax_number": "727-588-2447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 N HOWARD AVE STE 100",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336061213",
            "telephone_number": "727-581-8706",
            "fax_number": "727-588-2447"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11925 Sheldon Rd",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336263644",
            "country_code": "US",
            "telephone_number": "727-581-8706",
            "fax_number": "727-588-2447",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6133 Central Ave",
            "address_purpose": "LOCATION",
            "city": "Saint Petersburg",
            "state": "FL",
            "postal_code": "337108529",
            "country_code": "US",
            "telephone_number": "727-581-8706",
            "fax_number": "727-588-2447",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMS",
        "first_name": "REBECCA",
        "middle_name": "JOY",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-10",
        "last_updated": "2019-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "0PC3618",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "620696400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "20995",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "WALTERS",
            "middle_name": "JOY",
            "prefix": "DR.",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.