Dr Mark Tracy Dean, OD | |
4886 Socastee Blvd, Myrtle Beach, SC 29588-7245 | |
(843) 293-1555 | |
Not Available |
Full Name | Dr Mark Tracy Dean |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 44 Years |
Location | 4886 Socastee Blvd, Myrtle Beach, South Carolina |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164491718 | NPI | - | NPPES |
D06795 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 679 (South Carolina) | Primary |
Provider Name | Grand Strand Vision Services Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1942226337 PECOS PAC ID: 3779751953 Enrollment ID: O20110713000510 |
Provider Name | Socastee Eye Clinic Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1841476330 PECOS PAC ID: 2062629652 Enrollment ID: O20110912000395 |
Mailing Address | Practice Location Address |
---|---|
Dr Mark Tracy Dean, OD 4886 Socastee Blvd, Myrtle Beach, SC 29588-7245 Ph: (843) 293-1555 | Dr Mark Tracy Dean, OD 4886 Socastee Blvd, Myrtle Beach, SC 29588-7245 Ph: (843) 293-1555 |
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