TAMMY T. TULLY OD PA
NPI 1053356154
Optometrist in Georgetown, SC

Q: What is Tammy T. Tully Od PA's NPI number?

The NPI number for Tammy T. Tully Od PA is 1053356154. It was assigned to this organization in the NPPES registry on June 20, 2006.

Q: What is Tammy T. Tully Od PA's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Active since June 20, 2006

1310 N FRASER ST, GEORGETOWN, SC 29440(843) 520-0576(843) 520-4398 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: September 06, 2026.

On this page

About Tammy T. Tully Od Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TAMMY T. TULLY OD PA (NPI 1053356154) is a healthcare organization registered as an optometrist in Georgetown, South Carolina and active in the NPI registry since June 2006. The organization lists Tammy T Tully, President, as its authorized official.

NPPES Registry Identity

NPI1053356154

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameTAMMY T. TULLY OD PA

Location Address1310 N FRASER STGeorgetown, SC 29440-2800

Mailing AddressPo Box 50997Myrtle Beach, SC 29579-0017 · (843) 520-0576 · Fax (843) 520-4398

Phone(843) 520-0576

Fax(843) 520-4398

Organization SubpartNo

Authorized OfficialTammy T TullyPresident · (843) 520-0576

Enumeration DateJune 20, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1053356154 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in SC · 1061

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

1310 N FRASER ST, Georgetown, SC 29440

Open in Google Maps ↗

Other Identifiers 1

MedicaidDA9681SC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee.Insurance ›

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SABRINA LEE WALKER NCLEC, ABOC, LDO

Technician/Technologist (Optician)