Jeffrey S Tack OD

  • NPI 1710046610
According to our database, the NPI number for Jeffrey S Tack OD is 1710046610 and activated since 17 years ago. Jeffrey S Tack OD is an individual provider who specializes in Optometrist, and the primary practice location is 820 Ocean Beach Hwy, Longview, WA 98632. You can also contact Jeffrey S Tack OD via telephone number is (360) 636-2020. Provider NPI information was last updated on 05/02/2011.

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Overview of Jeffrey S Tack OD

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 12/06/2006
  • Last updated: 05/02/2011

Primary Scrop of Practice

  • Taxonomy Code: 152W00000X
  • Specialty: Optometrist
  • License Number: OD00002037
  • License State: WA

Provider Mailing Address

  • Address: 820 Ocean Beach Hwy
    Suite 100
    Longview, WA 98632
  • Phone: 360-636-2020
  • Fax: 360-425-0221

Provider Practice Location

  • Address: 820 Ocean Beach Hwy
    Suite 100
    Longview, WA 98632
  • Phone: 360-636-2020
  • Fax:

Scope of Practice

  • Taxonomy Code: 152W00000X
  • Specialty: Optometrist
  • License Number: OD00002037
  • License State: WA
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 2013696
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: WA
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Jeffrey S Tack OD?
  • A: The npi number for Jeffrey S Tack OD is 1710046610.
  • Q: What are Jeffrey S Tack OD's specialties?
  • A: Jeffrey S Tack OD's specialties are Optometrist and different specialities.
  • Q: What is the medical license for Jeffrey S Tack OD?
  • A: The medical license number for Jeffrey S Tack OD is OD00002037 and issued in WA in USA.
  • Q: Where is Jeffrey S Tack OD practice location?
  • A: Jeffrey S Tack OD is practicing at 820 Ocean Beach Hwy, Longview, WA 98632.
  • Q: How to contact Jeffrey S Tack OD?
  • A: You can contact Jeffrey S Tack OD via 360-636-2020.