OrganizationActive
Tammy T. Tully OD PA
NPI 1053356154 · Optometrist · Georgetown, SC
Tammy T. Tully OD PA is a Optometrist organization in Georgetown, SC (NPI 1053356154).
Provider details
- NPI number
- 1053356154
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Tammy Tully, President(843) 520-0576
- License
- 1061 (SC)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1310 N Fraser St
Georgetown, SC 29440-2800
Phone: (843) 520-0576
Fax: (843) 520-4398
Street-level locationGet directions
Mailing address
Po Box 50997
Myrtle Beach, SC 29579-0017
Registry dates
- Enumerated
- 2006-06-20
- Last updated
- 2020-08-22
Frequently asked questions
- What is Tammy T. Tully OD PA's NPI number?
- Tammy T. Tully OD PA's National Provider Identifier (NPI) is 1053356154, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Tammy T. Tully OD PA?
- Tammy T. Tully OD PA is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Tammy T. Tully OD PA located?
- Tammy T. Tully OD PA's practice location on file with NPPES is 1310 N Fraser St, Georgetown, SC 29440-2800.
- What is Tammy T. Tully OD PA's phone number?
- The practice phone number listed in the NPPES registry for Tammy T. Tully OD PA is (843) 520-0576.
- Who is the authorized official for Tammy T. Tully OD PA?
- The authorized official listed on Tammy T. Tully OD PA's NPPES record is Tammy Tully, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Tammy T. Tully OD PA's NPI active?
- Yes — Tammy T. Tully OD PA's NPI (1053356154) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.