Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jevaughn Gibbs, OD

Individual provider Optometrist · NPI 1124817218

Jevaughn Gibbs, OD is an Optometry in Myrtle Beach, South Carolina. Graduated from Illinois College of Optometry at Chicago in 2025, 1 year ago. Practices with Seaside Eye Associates P A, a 2-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Colorado, Georgia and South Carolina.

Years since qualifying
1
Trained at
Illinois College of Optometry at Chicago
Licensed in
CO, GA, SC
In the registry since
2025
Specialties on file
3
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

109 Finnegan Ct
Myrtle Beach, SC 29579-4205
Phone: (843) 903-0949
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 8075 Mall Pkwy Ste 103, Lithonia, GA 30038-6993 — (770) 484-2955

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence OPT003727 (GA)
Optometrist Taxonomy 152W00000X · Licence OPT.0004171 (CO)
Optometrist Taxonomy 152W00000X · Licence 2549 (SC)

Record details

NPI number1124817218
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedMay 5, 2025
Last updated in NPPESJune 23, 2026
Certification dateJune 23, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Graduated 2025 (1 years in practice)
Group practice Seaside Eye Associates P A — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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