SEASIDE EYE ASSOCIATES P A
NPI 1275894750
Optometrist in Myrtle Beach, SC

Q: What is Seaside Eye Associates P A's NPI number?

The NPI number for Seaside Eye Associates P A is 1275894750. It was assigned to this organization in the NPPES registry on May 31, 2012.

Q: What is Seaside Eye Associates P A's specialty?

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

Active since May 31, 2012

109 FINNEGAN CT, MYRTLE BEACH, SC 29579(843) 903-0949(843) 903-1101 Get Directions Write a Review

NPPES record last updated: May 31, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Seaside Eye Associates P A NPPES

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

SEASIDE EYE ASSOCIATES P A (NPI 1275894750) is a healthcare organization registered as an optometrist in Myrtle Beach, South Carolina and active in the NPI registry since May 2012. The organization lists Tammy T Tully, President, as its authorized official.

NPPES Registry Identity

NPI1275894750

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameSEASIDE EYE ASSOCIATES P A

Location Address109 FINNEGAN CTMyrtle Beach, SC 29579-4205

Mailing AddressPo Box 50997Myrtle Beach, SC 29579-0017 · (843) 903-0949 · Fax (843) 903-1101

Phone(843) 903-0949

Fax(843) 903-1101

Organization SubpartNo

Authorized OfficialTammy T TullyPresident · (843) 903-0949

Enumeration DateMay 31, 2012

✔ NPI 1275894750 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.

109 FINNEGAN CT, Myrtle Beach, SC 29579

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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 Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Seaside Eye Associates P A is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Seaside Eye Associates P A, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Jevaughn Gibbs, OD

Optometry

NPI 1124817218

109 FINNEGAN CT
Myrtle Beach, SC 29579

(843) 903-0949

✔ PECOS✔ Accepts MedicareSame address

Tammy Tully, O.D.

Optometry

NPI 1043261084

109 FINNEGAN CT
Myrtle Beach, SC 29579

(843) 903-0949

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Seaside Eye Associates P A's NPI number?

The NPI number for Seaside Eye Associates P A is 1275894750. It was assigned to this organization in the NPPES registry on May 31, 2012.

Where is Seaside Eye Associates P A located?

Seaside Eye Associates P A is located at 109 Finnegan Ct, Myrtle Beach, SC 29579. The listed phone number is (843) 903-0949.

What is Seaside Eye Associates P A's specialty?

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

Is Seaside Eye Associates P A enrolled in Medicare?

Yes. Seaside Eye Associates P A is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Seaside Eye Associates P A?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Optometry, reassign their Medicare billing to Seaside Eye Associates P A. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Seaside Eye Associates P A accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care and Ambetter of North Carolina list Seaside Eye Associates P A as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Seaside Eye Associates P A was last updated on May 31, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.