Rebecca Jean Williamson Brown, O.D.
Individual provider Active NPI Optometrist · Salem, OH
NPI 1528021763 · NPPES record last updated Feb 11, 2020
Key facts
- NPI
- 1528021763
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 5423 (OH)
- Practice address
- 389 N Ellsworth Ave
Salem, OH 44460-2805 - Phone
- (330) 332-1200
- Fax
- (330) 332-1200
- NPI assigned
- Apr 10, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Southern College of Optometry, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
389 N Ellsworth Ave
Salem, OH 44460-2805
Phone (330) 332-1200
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060404000025 | OH | Practitioner - Optometry | 1153339080 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5423 | OH | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr Rebecca J W Brown LLC | Optometrist | Current |
Accepting new patients |
| Thomas M. Grischow, O.D., Inc. | Optometrist | Past | Accepting new patients |
| Willard J. Stamp | Past |
Accepting new patients | |
| Thomas M Grischow OD Inc | Optometrist | Past | Accepting new patients |
Locations
389 N Ellsworth Ave
Salem, OH 44460
Phone (330) 332-1200
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 5423 | OH | Yes |
Addresses
Primary practice location
389 N Ellsworth Ave
Salem, OH 44460-2805
Mailing address
389 N Ellsworth Ave
Salem, OH 44460-2805
Phone (330) 332-1200
Other names
- Dr. Rebecca Jean Williamson
Other providers in Salem, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 11, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.