Tracy P Ray, OD in Loris, SC - Medicare Optometry Provider

Tracy P Ray, OD is a medicare enrolled "Optometrist" provider in Loris, South Carolina. He went to Southern College Of Optometry and graduated in 1987 and has 39 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Clemson Eye Pa and his current practice location is 3911 Main St, Loris, South Carolina. You can reach out to his office (for appointments etc.) via phone at (843) 756-1262.

Tracy P Ray is licensed to practice in South Carolina (license number 860) 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 1073688206.

Contact Information

	Tracy P Ray, OD
	3911 Main St, Loris, SC 29569-3017
	(843) 756-1262
	(843) 756-6667

Map and Direction

Healthcare Provider's Profile

Full Name	Tracy P Ray
Gender	Male
Speciality	Optometry
Experience	39 Years
Location	3911 Main St, Loris, South Carolina
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Tracy P Ray attended and graduated from Southern College Of Optometry in 1987

NPI Data:

NPI Number: 1073688206
Provider Enumeration Date: 11/22/2006
Last Update Date: 06/25/2025

Medicare PECOS Information:

PECOS PAC ID: 6608939780
Enrollment ID: I20120104000432

Medical Identifiers

Medical identifiers for Tracy P Ray such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073688206	NPI	-	NPPES
DA9737	Medicaid	SC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	860 (South Carolina)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Mcleod Loris Hospital	Loris, SC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Clemson Eye Pa	4183537764	50

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Tracy P Ray allows following entities to bill medicare on his behalf.

Provider Name	Clemson Eye Pa
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1447383831 PECOS PAC ID: 4183537764 Enrollment ID: O20031110000508

Provider Name	Loris Eye Associates Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1215140793 PECOS PAC ID: 5597886630 Enrollment ID: O20120104000380

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. Tracy P Ray 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 Address	Practice Location Address
Tracy P Ray, OD Po Box 896189, Charlotte, NC 28289-6189 Ph: (843) 664-9393	Tracy P Ray, OD 3911 Main St, Loris, SC 29569-3017 Ph: (843) 756-1262

Reviews and Comments

Optometrist in Loris, SC

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
Loris Eye Associates Pc Optometrist Medicare: Medicare Enrolled Practice Location: 3911 Main St, Loris, SC 29569 Phone: 843-756-1262 Fax: 843-756-6667
Dr. William Rey Worley Iii, OD Optometrist Medicare: Accepting Medicare Assignments 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

Tracy P Ray, OD - Medicare Optometrist in Loris, SC