Tammy T Tully, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1061 Issued in SC

Practice address

109 Finnegan CT
Myrtle Beach, SC 29579-4205

Phone

(843) 903-0949

Fax

(843) 903-1101

NPI assigned

May 15, 2006

Last updated

Aug 1, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

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

Southern College of Optometry, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Seaside Eye Associates P aGroup PAC ID 7012920887, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

87.21 of 100Reported as individual

Quality

74.43

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tammy.tully@direct.revolutionehr.com

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.

• Seaside Eye Associates P a

  • Optometrist
  • Myrtle Beach, SC
  • NPI 1275894750
  Medicare reassignment Care Compare group NPD Authorized official
• Tammy T. Tully OD PA

  • Optometrist
  • Georgetown, SC
  • NPI 1053356154
  NPD Authorized official

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217548800000",
    "number": "1043261084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50997",
            "address_2": "4606 MOONBEAM CT",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295790017",
            "telephone_number": "843-520-0576",
            "fax_number": "843-520-4398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 FINNEGAN CT",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295794205",
            "telephone_number": "843-903-0949",
            "fax_number": "843-903-1101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TULLY",
        "first_name": "TAMMY",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-15",
        "last_updated": "2008-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "1061",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DA9681",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Bowen Truluck, MD
• Brenden Truman, MD
• Trust Concierge Pharmaceuticals LLC (Pharmacists Care)
• Kelsey Tucker, LISW-CP
• Skylar Tucker, DPT
• Angel Tumbleston, PMHNP
• Caila Turbeville
• Andrew Turner
• Donna Jean Turner, CRNA
• Turning Point Counseling and Consulting, LLC

• Optometrist in Myrtle Beach, SC
• Providers in Myrtle Beach, SC by specialty
• Optometrist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2008; 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.