Jeffrey S Tack is a Pediatrics in Longview, Washington. Jeffrey S Tack practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Jeffrey S Tack is 1710046610. The last update date is 2011-05-02.
Jeffrey S Tack's current location address is 820 Ocean Beach Hwy, Longview, Washington. You can contact this provider via phone number 3606362020 and fax number 3604250221. The mailing address for Jeffrey S Tack is 820 Ocean Beach Hwy, Longview, Washington. To know further, please read the information below!
Provider Profile Detail
Provider Name | Jeffrey S Tack |
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Address | 820 Ocean Beach Hwy, Longview, Washington |
Phone Number | 3606362020 |
Fax Number | 3604250221 |
Sole Proprietor | N |
Credentials | OD |
NPI Number Detail
NPI Number | 1710046610 |
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Provider Enumeration Date | 2006-12-06 |
Last Updated Date | 2011-05-02 |
Provider Mailing Address Detail
Address | 820 Ocean Beach Hwy |
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City | Longview |
State | Washington (WA) |
Post Code | 986324080 |
Phone Number | 3606362020 |
Fax Number | 3604250221 |
Provider's Primary Taxonomy Detail
Speciality | Pediatrics |
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Taxonomy | 152Wp0200X |
Licence No | OD00002037 |
Definition: Optometrists who work in Pediatrics are concerned with the prevention, development, diagnosis, and treatment of visual problems in children. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
410024013 | WA | RAIL ROAD MEDICARE | |
2013696 | WA | -- | |
50D2022229 | WA | CLIA# |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Jeffrey S Tack by the Centers for Medicare & Medicaid Services?
The Jeffrey S Tack has been assigned the NPI (National Provider Identifier) 1710046610 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where Jeffrey S Tack is physically located?
The Jeffrey S Tack is situated at the following address: 820 Ocean Beach Hwy, Longview, WA 986324080.
What is Jeffrey S Tack's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jeffrey S Tack is Pediatrics, and the corresponding taxonomy classification code for this specialized field is 152Wp0200X.
When was the Jeffrey S Tack's 1710046610 issued?
The Jeffrey S Tack's 1710046610 was issued on 2006-12-06.
As of what date were the details related to Jeffrey S Tack most recently updated or revised?
The information pertaining to Jeffrey S Tack, including its address, specialty, and other relevant details, was last updated or revised on 2011-05-02.
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