Seaside Eye Associates P a

PAC ID

7012920887The PECOS associate control ID: one enrolled organization, which may hold several NPIs

Provider type

Part B Supplier - Clinic/Group Practice

Enrolled in

SC

Enrollments

1

Group size

2 cliniciansAs Care Compare reports it

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice locations

1In 1 place

Enrollment records 1

These NPI records belong to the same enrolled organization. Each has its own page.

• Seaside Eye Associates P a

  • Optometrist
  • Myrtle Beach, SC
  • NPI 1275894750
• Tammy T. Tully OD PA

  • Optometrist
  • Georgetown, SC
  • NPI 1053356154

Clinicians who reassign their Medicare benefits to this group (2) or whom Care Compare lists as members (2).

• Jevaughn Gibbs, OD

  • Optometrist
  • Myrtle Beach, SC
  • NPI 1124817218
• Tammy T Tully, O.D.

  • Optometrist
  • Myrtle Beach, SC
  • NPI 1043261084

• Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
• Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
• NPPES NPI Registry: the names and addresses of the NPIs above.