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TIDEWATER VISION CENTER
NPI 1063629954
Optometrist in Georgetown, SC

Active since May 17, 2007
1175 N FRASER ST, GEORGETOWN, SC 29440(843) 527-2682(843) 527-2721 Get Directions Write a Review

NPPES record last updated: August 21, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tidewater Vision Center NPPES

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

TIDEWATER VISION CENTER (NPI 1063629954) is a healthcare organization registered as an optometrist in Georgetown, South Carolina and active in the NPI registry since May 2007. The organization lists Fouad Safou Allouch, Owner, as its authorized official.

NPPES Registry Identity

NPI1063629954
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameALLOUCH OPTOMETRY
Location Address1175 N FRASER STGeorgetown, SC 29440-2851
Mailing Address2703 N Kings HwyMyrtle Beach, SC 29577-3011 · (843) 448-1596 · Fax (843) 448-4793
Phone(843) 527-2682
Fax(843) 527-2721
Organization SubpartNo
Authorized OfficialFouad Safou AllouchOwner · (843) 448-1596
Enumeration DateMay 17, 2007
Last NPPES UpdateAugust 21, 2007
✔ NPI 1063629954 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 · 1211
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.
1175 N FRASER ST, Georgetown, SC 29440
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Other Names 1

Other NameTidewater Vision Center

Other Identifiers 2

Medicare UPIND12118SC
MedicaidD12118SC

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

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Allouch Optometry's NPI number?

The NPI number for Allouch Optometry is 1063629954. It was assigned to this organization in the NPPES registry on May 17, 2007. The provider is also known as Tidewater Vision Center.

Where is Allouch Optometry located?

Allouch Optometry is located at 1175 N Fraser St, Georgetown, SC 29440. The listed phone number is (843) 527-2682.

What is Allouch Optometry's specialty?

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

When was this NPI record last updated?

The NPPES record for Allouch Optometry was last updated on August 21, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.