| Tidewater Vision Center | |
|
1175 N Fraser St, Georgetown, SC 29440-2851 | |
| (843) 527-2682 | |
| (843) 527-2721 |
| Full Name | Tidewater Vision Center |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1175 N Fraser St, Georgetown, South Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063629954 | NPI | - | NPPES |
| D12118 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 1211 (South Carolina) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Tidewater Vision Center 2703 N Kings Hwy, Myrtle Beach, SC 29577-3011 Ph: (843) 448-1596 | Tidewater Vision Center 1175 N Fraser St, Georgetown, SC 29440-2851 Ph: (843) 527-2682 |
Tammy T. Tully Od Pa Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1310 N Fraser St, Georgetown, SC 29440 Phone: 843-520-0576 Fax: 843-520-4398 | |
Dr. Michelle West Nagro, OD Optometrist Medicare: Medicare Enrolled Practice Location: 302 Church St, Georgetown, SC 29440 Phone: 843-546-2244 | |
Walter A. Mayo, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1200 Highmarket St, Suite 200, Georgetown, SC 29440 Phone: 843-546-8421 Fax: 843-546-1173 | |
Ltc Eyecare Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 511 Prince St, Georgetown, SC 29440 Phone: 843-527-8020 Fax: 843-546-4111 | |
Dr. Owen Cannon Johnson, O.D. Optometrist Medicare: May Accept Medicare Assignments Practice Location: 302 Church St, A, Georgetown, SC 29440 Phone: 843-546-2244 Fax: 843-546-2255 | |
Crystal L. Franklin, Od, Pa Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1310 N Fraser St, Georgetown, SC 29440 Phone: 843-520-0576 |