Rebecca R Miller, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

8047TG Issued in TX

Practice address

4000 Bryant Irvin Rd Ste 216
Fort Worth, TX 76109-4153

Phone

(682) 267-2020

Fax

(682) 244-2204

NPI assigned

Jul 30, 2012

Last updated

Jan 16, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Rebecca Hanna Former name

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

Specialty

Optometry

Education

International American University at Puerto Rico - School of Optometry, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gary R Tylock MD PAGroup PAC ID 2466523873, 4 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rebecca.miller@uprisedirect.com
• Direct secure messaging: rmiller@mueller.intellechartdirect.net

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.

• Gary R Tylock MD PA

  dba Tylock George Laser Vision

  • Ophthalmology Physician
  • Irving, TX
  • NPI 1770753519
  Medicare reassignment Care Compare group NPD
• Plano Eye Associates PC

  • Optometrist
  • Plano, TX
  • NPI 1750581864
  Medicare reassignment NPD
• Tylock-George Cosmetic PA

  • Ambulatory Surgical Clinic/Center
  • Irving, TX
  • NPI 1689498982
  NPD

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

{
    "created_epoch": "1343606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736985600000",
    "number": "1932455722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 BRYANT IRVIN RD STE 216",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761094153",
            "telephone_number": "682-267-2020",
            "fax_number": "682-244-2204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 BRYANT IRVIN RD STE 216",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761094153",
            "telephone_number": "682-267-2020",
            "fax_number": "682-244-2204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "REBECCA",
        "middle_name": "R",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-30",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8047TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "HANNA",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Micaela Miller, PT, DPT
• Michelle Miller, RDH
• Nakkia Miller
• Natasha Monique Miller
• Rachel Miller
• Richard Edwin Miller, L.P.C.
• Robin Desiree Miller, LPC
• Rose A Miller
• Rudolph H Miller III, MD
• Sarah Miller

• Optometrist in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.