Seaside Eye Associates P a

Primary specialty

OptometristTaxonomy code 152W00000X

License

1061 Issued in SC

Legal business name

SEASIDE EYE ASSOCIATES P A

Practice address

109 Finnegan CT
Myrtle Beach, SC 29579-4205

Phone

(843) 903-0949

Fax

(843) 903-1101

NPI assigned

May 31, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Tammy T Tully, O.D.NPI 1043261084

Title

President

Phone

(843) 903-0949

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Tammy T. Tully OD PA

  • Optometrist
  • Georgetown, SC
  • NPI 1053356154

  O20060720000357

  Same enrollment

Locations

Practitioners 2

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.

• Tammy T Tully, O.D.

  • Optometrist
  • Myrtle Beach, SC
  • NPI 1043261084
  Medicare reassignment Care Compare group NPD Authorized official
• Jevaughn Gibbs, OD

  • Optometrist
  • Myrtle Beach, SC
  • NPI 1124817218
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1338422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338422400000",
    "number": "1275894750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50997",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295790017",
            "telephone_number": "843-903-0949",
            "fax_number": "843-903-1101"
        },
        {
            "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": {
        "organization_name": "SEASIDE EYE ASSOCIATES P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-31",
        "last_updated": "2012-05-31",
        "status": "A",
        "authorized_official_last_name": "TULLY",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "843-903-0949",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "SC",
            "license": "1061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Catherine Grace Searcy, CF-SLP
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• Seascape Insights LLC
• Seashore Transport Services LLC
• Lindsey Marie Seaton
• Loren Orlando Seda, MS, CAC-P
• Ishwinder Singh Sehgal, M.D.
• Laura Mariel Seipt, NP
• Sara S Selander, DPT

• 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 May 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.