Terence O Tack is a Longview, Washington based male Optometrist who is specialized in Optometry. Active license number of Terence O Tack is OD00000948 for Optometry in Washington. Terence O 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:
Terence O 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
Gender:
Male
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.
NPI Number:
1508925405
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 Terence O Tack are as mentioned below.
License Number
Specialization
State
Status
OD00000948
Optometry
Washington
Primary
OD00000948
Optometry - Corneal and Contact Management
Washington
Secondary
OD00000948
Optometry - Low Vision Rehabilitation
Washington
Secondary
OD00000948
Optometry - Pediatrics
Washington
Secondary
OD00000948
Optometry - Sports Vision
Washington
Secondary
OD00000948
Optometry - Vision Therapy
Washington
Secondary
OD00000948
Optometry - Occupational Vision
Washington
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Terence O Tack such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
50D2022229
Other
Washington
CLIA #
410005544
Other
Washington
RAIL ROAD MEDICARE
2899201
Medicaid
Washington
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 Terence O 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.