Provider Demographics
NPI:1750146973
Name:TRICOUNTY EYE ASSOCIATES
Entity type:Organization
Organization Name:TRICOUNTY EYE ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPTOMETRIST
Authorized Official - Prefix:
Authorized Official - First Name:SHAYE
Authorized Official - Middle Name:
Authorized Official - Last Name:HURD
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:843-224-0387
Mailing Address - Street 1:8983 UNIVERSITY BLVD STE 104
Mailing Address - Street 2:
Mailing Address - City:NORTH CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29406-7102
Mailing Address - Country:US
Mailing Address - Phone:843-572-6622
Mailing Address - Fax:
Practice Address - Street 1:8983 UNIVERSITY BLVD STE 104
Practice Address - Street 2:
Practice Address - City:NORTH CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29406-7102
Practice Address - Country:US
Practice Address - Phone:843-572-6622
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-16
Last Update Date:2024-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty