MEDICARE: DR. JILL ALEXIS YATES OD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	OPT.2602	SC

General Provider Information

NPI Number	:	1578496469
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JILL ALEXIS YATES OD

Provider Business Mailing Address
First Line	:	1296 LONG GROVE DR
Second Line	:
City	:	MT PLEASANT
State	:	SC
Zip	:	29464-9462
Country	:	US
Telephone Number	:	843-388-6200
Fax Number	:	888-224-4732

Provider Business Practice Location Address
First Line	:	1296 LONG GROVE DR
Second Line	:
City	:	MT PLEASANT
State	:	SC
Zip	:	29464-9462
Country	:	US
Telephone Number	:	843-388-6200
Fax Number	:	888-224-4732

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/08/2026
Last Update Date	:	06/08/2026

Similar Medicare Providers

1336161082 — SOUTH CAROLINA CVS PHARMACY LLC
Practice Location Address:

1300 LONG GROVE DR
MT PLEASANT, SC
29464-9462

Practice Phone: 843-388-8769
Practice Fax: 843-388-8769

1417241142 — DR. BROOKE BIVENS ASH PHARMD
Practice Location Address:

1300 LONG GROVE DR
MT PLEASANT, SC
29464-9462

Practice Phone: 843-388-8769
Practice Fax:

1013351691 — JESSICA LAUREN GASKINS PHARMD
Practice Location Address:

1300 LONG GROVE DR , T-1529
MT PLEASANT, SC
29464-9462

Practice Phone: 843-388-8769
Practice Fax:

1295875938 — DR. DAVID BRADLEY BODKIN O.D.
Practice Location Address:

1296 LONG GROVE DR
MOUNT PLEASANT, SC
29464-9462

Practice Phone: 617-970-2252
Practice Fax:

1710111588 — THE VISION CENTER AT SEASIDE FARMS
Practice Location Address:

1296 LONG GROVE DR
MOUNT PLEASANT, SC
29464-9462

Practice Phone: 843-388-6200
Practice Fax: 888-224-4732

1760777411 — DR. CHRISTINA BRUECKNER PETTIT PHARMD
Practice Location Address:

1300 LONG GROVE DR , TARGET PHARMACY T-1529
MOUNT PLEASANT, SC
29464-9462

Practice Phone: 843-388-8769
Practice Fax:

Directions to “ DR. JILL ALEXIS YATES OD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.