Distinctive Eyewear Vision Center
NPI 1174806053 · Optometrist · Myrtle Beach, SC
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Distinctive Eyewear Vision Center is a Optometrist organization in Myrtle Beach, SC (NPI 1174806053).
Provider details
- NPI number
- 1174806053
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Lauri Graham, Owner(843) 213-1201
- License
- 1396 (SC)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
Mailing address
Registry dates
- Enumerated
- 2011-09-27
- Last updated
- 2011-09-27
Frequently asked questions
- What is Distinctive Eyewear Vision Center's NPI number?
- Distinctive Eyewear Vision Center's National Provider Identifier (NPI) is 1174806053, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Distinctive Eyewear Vision Center?
- Distinctive Eyewear Vision Center is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Distinctive Eyewear Vision Center located?
- Distinctive Eyewear Vision Center's practice location on file with NPPES is 1206 Moser Dr, Myrtle Beach, SC 29577-1575.
- What is Distinctive Eyewear Vision Center's phone number?
- The practice phone number listed in the NPPES registry for Distinctive Eyewear Vision Center is (843) 213-1201.
- Does Distinctive Eyewear Vision Center accept Medicare?
- Distinctive Eyewear Vision Center is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Distinctive Eyewear Vision Center?
- The authorized official listed on Distinctive Eyewear Vision Center's NPPES record is Lauri Graham, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Distinctive Eyewear Vision Center's NPI active?
- Yes — Distinctive Eyewear Vision Center's NPI (1174806053) is active in the NPPES registry as of the last update on 2011-09-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.