Jeffrey S Tack is a Vision Therapy in Longview, Washington. Jeffrey S Tack practices all healthcare services and medical treatments related to Vision Therapy. 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 |
|---|---|
| Address | 820 Ocean Beach Hwy, Longview, Washington |
| Phone Number | 3606362020 |
| Fax Number | 3604250221 |
| Sole Proprietor | N |
| Credentials | OD |
NPI Number Detail
| NPI Number | 1710046610 |
|---|---|
| Provider Enumeration Date | 2006-12-06 |
| Last Updated Date | 2011-05-02 |
Provider Mailing Address Detail
| Address | 820 Ocean Beach Hwy |
|---|---|
| City | Longview |
| State | Washington (WA) |
| Post Code | 986324080 |
| Phone Number | 3606362020 |
| Fax Number | 3604250221 |
Provider's Primary Taxonomy Detail
| Speciality | Vision Therapy |
|---|---|
| Taxonomy | 152Wv0400X |
| Licence No | OD00002037 |
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Definition: Optometrists who specialize in vision therapy as a treatment process used to improve vision function. It includes a broad range of developmental and rehabilitative treatment programs individually prescribed to remediate specific sensory, motor and/or |
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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 Vision Therapy, and the corresponding taxonomy classification code for this specialized field is 152Wv0400X.
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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