| Loris Eye Associates Pc | |
|
3911 Main St, Loris, SC 29569-3017 | |
| (843) 756-1262 | |
| (843) 756-6667 |
| Full Name | Loris Eye Associates Pc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 3911 Main St, Loris, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215140793 | NPI | - | NPPES |
| DA9737 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 860 (South Carolina) | Primary |
| Provider Name | Tracy Ray |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1073688206 PECOS PAC ID: 6608939780 Enrollment ID: I20120104000432 |
| Provider Name | Hannah C.w Lane |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1346860491 PECOS PAC ID: 7214339068 Enrollment ID: I20210715002913 |
| Mailing Address | Practice Location Address |
|---|---|
| Loris Eye Associates Pc 3911 Main St, Loris, SC 29569-3017 Ph: (843) 756-1262 | Loris Eye Associates Pc 3911 Main St, Loris, SC 29569-3017 Ph: (843) 756-1262 |
Michael L Mills, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3420 Broad St, Loris, SC 29569 Phone: 843-756-6919 Fax: 843-756-6900 | |
Tracy P. Ray, OD Optometrist Medicare: May Accept Medicare Assignments Practice Location: 3911 Main St, Loris, SC 29569 Phone: 843-756-1262 Fax: 843-756-6667 | |
Dr. Hannah Lane, OD Optometrist Medicare: May Accept Medicare Assignments Practice Location: 3911 Main Street, Loris, SC 29569 Phone: 843-756-1262 | |
Dr. William Rey Worley Iii, OD Optometrist Medicare: Medicare Enrolled Practice Location: 3420 Broad St, Loris, SC 29569 Phone: 843-756-6919 | |
Dr Michael L Mills Pa Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3420 Broad St, Loris, SC 29569 Phone: 843-756-6919 Fax: 843-756-6900 |