Loris Eye Associates PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

860 Issued in SC

Legal business name

LORIS EYE ASSOCIATES PC

Practice address

3911 Main St
Loris, SC 29569-3017

Phone

(843) 756-1262

Fax

(843) 756-6667

NPI assigned

May 8, 2007

Last updated

Mar 14, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tracy P. Ray, O. D.NPI 1073688206

Title

Owner

Phone

(843) 756-1262

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tracy P. Ray, OD

  • Optometrist
  • Loris, SC
  • NPI 1073688206
  Authorized official Same address or phone

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710374400000",
    "number": "1215140793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3911 MAIN ST",
            "city": "LORIS",
            "state": "SC",
            "postal_code": "295693017",
            "telephone_number": "843-756-1262",
            "fax_number": "843-756-6667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3911 MAIN ST",
            "city": "LORIS",
            "state": "SC",
            "postal_code": "295693017",
            "telephone_number": "843-756-1262",
            "fax_number": "843-756-6667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LORIS EYE ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A",
        "authorized_official_last_name": "RAY",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-756-1262",
        "authorized_official_credential": "O. D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "860",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DA9737",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Loris Community Hospital District (DBA Southern Medical Associates)
• Loris Community Hospital District (Loris Healthcare System)
• Loris Drug Company LLC (Loris Drug Store)
• Loris Drug Store, Inc.
• Loris Drug Store, Inc.
• Loris Family Dentistry, LLC
• Loris Medical Center, PA
• Loris Physician Services
• Loris Rehab and Nursing Center, LLC
• Loris Surgical Associates, PA

• Optometrist in Loris, SC
• Providers in Loris, SC by specialty
• Optometrist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.