Individual provider Active NPI

Rebecca Marie Williams, O.D.

  • Optometrist
  • San Antonio, TX
National Provider Identifier
1609164714
Registry record updated Mar 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7804T Issued in TX
Practice address
12840 W Interstate 10 Ste 102
San Antonio, TX 78249-2361
Phone
(210) 233-8066
NPI assigned
Jul 11, 2011
Last updated
Mar 21, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7804T TX Primary

Addresses

Primary practice location

12840 W Interstate 10 Ste 102
San Antonio, TX 78249-2361

Mailing address

12840 W Interstate 10 Ste 102
San Antonio, TX 78249-2361
Phone (210) 233-8066

Other practice location 1

4522 Fredericksburg Rd
Bldg 2434
San Antonio, TX 78201-6521
Phone (210) 733-1555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20111031000043 TX Practitioner - Optometry 3173796521 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
W. E. Care Optometry, LLCGroup PAC ID 9739333584, 2 clinicians

Practice addresses (Care Compare)

4522 Fredericksburg Rd
Balcones Heights, TX 78201-6521
Phone (210) 733-1555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7804TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
W.E.Care Optometry, LLC Optometrist CurrentSince Oct 15, 2012 Accepting new patients
Mathews & Mathews Opt Inc Optometrist Past Accepting new patients

Locations

11311 Bandera Rd
San Antonio, TX 78250
Phone (210) 256-2020

12840 W Interstate 10
Ste 102
San Antonio, TX 78249
Phone (210) 233-8066

22832 US Highway 281 N
San Antonio, TX 78258
Phone (210) 481-2863

4522 Fredericksburg Rd
San Antonio, TX 78201
Phone (210) 280-0001

4522 Fredericksburg Rd
Bldg 2434
San Antonio, TX 78201
Phone (210) 733-1555

Organizations & group practices 2

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": "1310342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679356800000",
    "number": "1609164714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12840 W INTERSTATE 10 STE 102",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782492361",
            "telephone_number": "210-233-8066",
            "fax_number": "844-353-2042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12840 W INTERSTATE 10 STE 102",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782492361",
            "telephone_number": "210-233-8066"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4522 Fredericksburg Rd",
            "address_2": "Bldg 2434",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782016521",
            "country_code": "US",
            "telephone_number": "210-733-1555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "REBECCA",
        "middle_name": "MARIE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-11",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7804T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.