Rebecca J Sims OD PA

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

REBECCA J SIMS OD PA

Practice address

3604 Madaca LN
Tampa, FL 33618-2057

Phone

(813) 962-1006

NPI assigned

Nov 23, 2022

Last updated

Nov 23, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dana Leonard

Title

Credentialing

Phone

(813) 966-7681

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rebecca Joy Sims, OD

  • Optometrist
  • Tampa, FL
  • NPI 1396708376
  NPD

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

{
    "created_epoch": "1669161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669161600000",
    "number": "1487363966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3606 S CLARK AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336298519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3604 MADACA LN",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336182057",
            "telephone_number": "813-962-1006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBECCA J SIMS OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-23",
        "last_updated": "2022-11-23",
        "certification_date": "2022-11-23",
        "status": "A",
        "authorized_official_last_name": "LEONARD",
        "authorized_official_first_name": "DANA",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "813-966-7681"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5261666",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "20995H",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lori Ann Reale, APRN
• Sarah Reams, ARNP
• Vera Louise Reaves
• Katherine Jude Reavis, DO
• Patricia Frazier Rebb
• Rebecca Sims OD PA (SIMS od)
• Rebecca Thorne Stasch, LLC
• Cydney Marie Rebetti, ARNP
• Brighid M Rebolledo, OTR/L
• Reborn Counseling, LLC

• Optometrist in Tampa, FL
• Providers in Tampa, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.