1710046610 Jeffrey S Tack, OD
Optometrist
Active
Basic Information
- Full Name
- Jeffrey S Tack, OD
- Gender
- Male
- Enumeration Date
- December 6, 2006
- Last Update
- May 2, 2011
Practice Location
- Address
- 820 OCEAN BEACH HWY
SUITE 100
LONGVIEW, WA 986324011 - Phone
- (360) 636-2020
Mailing Address
- Address
- 820 OCEAN BEACH HWY
SUITE 100
LONGVIEW, WA 986324080 - Phone
- (360) 636-2020
- Fax
- (360) 425-0221
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Optometrist | 152W00000X | Optometrist | OD00002037 | WA | Primary |
| Corneal and Contact Management Optometrist Corneal and Contact Management | 152WC0802X | Optometrist | OD00002037 | WA | No |
| Low Vision Rehabilitation Optometrist Low Vision Rehabilitation | 152WL0500X | Optometrist | OD00002037 | WA | No |
| Pediatric Optometrist Pediatrics | 152WP0200X | Optometrist | OD00002037 | WA | No |
| Sports Vision Optometrist Sports Vision | 152WS0006X | Optometrist | OD00002037 | WA | No |
| Vision Therapy Optometrist Vision Therapy | 152WV0400X | Optometrist | OD00002037 | WA | No |
| Occupational Vision Optometrist Occupational Vision | 152WX0102X | Optometrist | OD00002037 | WA | No |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 410024013 | 01 | WA | RAIL ROAD MEDICARE |
| 2013696 | 05 | WA | N/A |
| 50D2022229 | 01 | WA | CLIA# |
Frequently Asked Questions
What is Jeffrey S Tack, OD's NPI number?
Jeffrey S Tack, OD's NPI number is 1710046610.
Which doctor has NPI number 1710046610?
The doctor with NPI number 1710046610 is Jeffrey S Tack, OD.
What is Jeffrey S Tack, OD's practice address?
Jeffrey S Tack, OD's practice address is 820 OCEAN BEACH HWY, SUITE 100, LONGVIEW, WA, 986324011.
Which doctor practices at 820 OCEAN BEACH HWY, SUITE 100, LONGVIEW, WA, 986324011?
Jeffrey S Tack, OD practices at 820 OCEAN BEACH HWY, SUITE 100, LONGVIEW, WA, 986324011.
What is Jeffrey S Tack, OD's phone number?
Jeffrey S Tack, OD's phone number is (360) 636-2020.
Who is (360) 636-2020?
(360) 636-2020 is the phone number for Jeffrey S Tack, OD.
What is Jeffrey S Tack, OD's specialty?
Jeffrey S Tack, OD's specialty is Optometrist.
What type of doctor is Jeffrey S Tack, OD?
Jeffrey S Tack, OD is a Optometrist.
Is Jeffrey S Tack, OD a Optometrist?
Yes, Jeffrey S Tack, OD is a Optometrist.
Is Jeffrey S Tack, OD still practicing?
Yes, Jeffrey S Tack, OD is currently practicing.
Is Jeffrey S Tack, OD accepting new patients?
Jeffrey S Tack, OD may be accepting new patients. Please call their office at (360) 636-2020 to inquire about availability.
Is NPI 1710046610 still active?
Yes, NPI 1710046610 is currently active.
Where does Jeffrey S Tack, OD practice?
Jeffrey S Tack, OD practices in LONGVIEW, WA.
Is Jeffrey S Tack, OD a male or female doctor?
Jeffrey S Tack, OD is a male doctor.