Jeffrey S Tack is a Longview, Washington based male Optometrist with 33 years of experience in Optometry. He completed his graduation from Pacific University - College Of Optometry in 1991. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Jeffrey S Tack is OD00002037 for Optometry in Washington. Jeffrey S Tack examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. He completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. He is a eye health care professional who is state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Complete Profile:
Jeffrey S Tack speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Optometry
Credentials:
OD
Experience:
33+ years
Medical School Attended:
Pacific University - College Of Optometry
Graduation Year:
1991
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
820 Ocean Beach Hwy, Suite 100, Longview, Washington, 98632-4011
Phone:
360-636-2020
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
3779578554
Enrollment ID:
I20040701000323
NPI Number:
1710046610
NPI Enumeration Date:
06 Dec, 2006
NPI Last Update On:
02 May, 2011
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jeffrey S Tack are as mentioned below.
License Number
Specialization
State
Status
OD00002037
Optometry
Washington
Primary
OD00002037
Optometry - Corneal and Contact Management
Washington
Secondary
OD00002037
Optometry - Low Vision Rehabilitation
Washington
Secondary
OD00002037
Optometry - Pediatrics
Washington
Secondary
OD00002037
Optometry - Sports Vision
Washington
Secondary
OD00002037
Optometry - Vision Therapy
Washington
Secondary
OD00002037
Optometry - Occupational Vision
Washington
Secondary
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Jeffrey S Tack has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Longview Eye And Vision (5395639959)
2
Other Medical Identifiers:
Other legacy medical identifiers associated with Jeffrey S Tack such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
410024013
Other
Washington
RAIL ROAD MEDICARE
2013696
Medicaid
Washington
50D2022229
Other
Washington
CLIA#
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
820 Ocean Beach Hwy, Suite 100 Longview, Washington
Zip:
98632-4080
Phone Number:
360-636-2020
Fax Number:
360-425-0221
Patients can reach Jeffrey S Tack at 820 Ocean Beach Hwy, Suite 100, Longview, Washington or can call to book an appointment on 360-636-2020. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.