Jevaughn Gibbs, OD - Medicare Optometrist in Myrtle Beach, SC

Jevaughn Gibbs, OD is a medicare enrolled "Optometrist" provider in Myrtle Beach, South Carolina. He went to Illinois College Of Optometry At Chicago and graduated in 2025 and has 1 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Seaside Eye Associates P A and his current practice location is 109 Finnegan Ct, Myrtle Beach, South Carolina. You can reach out to his office (for appointments etc.) via phone at (843) 903-0949.

Jevaughn Gibbs is licensed to practice in Georgia (license number OPT003727) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1124817218.

Contact Information

Jevaughn Gibbs, OD
109 Finnegan Ct,
Myrtle Beach, SC 29579-4205
(843) 903-0949
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameJevaughn Gibbs
GenderMale
SpecialityOptometry
Experience1 Years
Location109 Finnegan Ct, Myrtle Beach, South Carolina
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jevaughn Gibbs attended and graduated from Illinois College Of Optometry At Chicago in 2025
  NPI Data:
  • NPI Number: 1124817218
  • Provider Enumeration Date: 05/05/2025
  • Last Update Date: 06/23/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 6103320304
  • Enrollment ID: I20250919002473

Medical Identifiers

Medical identifiers for Jevaughn Gibbs such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124817218NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist OPT003727 (Georgia)Primary
152W00000XOptometrist OPT.0004171 (Colorado)Secondary
152W00000XOptometrist 2549 (South Carolina)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Seaside Eye Associates P A70129208872

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jevaughn Gibbs is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jevaughn Gibbs, OD
109 Finnegan Ct,
Myrtle Beach, SC 29579-4205

Ph: (843) 903-0949
Jevaughn Gibbs, OD
109 Finnegan Ct,
Myrtle Beach, SC 29579-4205

Ph: (843) 903-0949

Reviews and Comments


Optometrist in Myrtle Beach, SC

Dr. Tammy T Tully, O.D.
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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.