Terence O Tack is a Vision Therapy in Longview, Washington. Terence O Tack practices all healthcare services and medical treatments related to Vision Therapy. The NPI Number for Terence O Tack is 1508925405. The last update date is 2011-05-02.
Terence O 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 Terence O Tack is 820 Ocean Beach Hwy, Longview, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Terence O Tack |
|---|---|
| Address | 820 Ocean Beach Hwy, Longview, Washington |
| Phone Number | 3606362020 |
| Fax Number | 3604250221 |
| Sole Proprietor | N |
| Credentials | OD |
NPI Number Detail
| NPI Number | 1508925405 |
|---|---|
| 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 | OD00000948 |
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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 |
|---|---|---|---|
| 50D2022229 | WA | CLIA # | |
| 410005544 | WA | RAIL ROAD MEDICARE | |
| 2899201 | WA | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Terence O Tack?
The Terence O Tack has been issued the NPI (National Provider Identifier) 1508925405 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Terence O Tack's physical address?
The Terence O Tack is physically located at 820 Ocean Beach Hwy, in the city of Longview, WA, with the postal code 986324080.
What is the Terence O Tack's area of specialization and corresponding taxonomy classification?
The Terence O Tack's specialty field is Vision Therapy, and it falls under the taxonomy code 152Wv0400X, which categorizes healthcare providers based on their specialties.
On what date did Terence O Tack receive its 1508925405 assignment from the Centers for Medicare & Medicaid Services?
The Terence O Tack was assigned its 1508925405 on 2006-12-06, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Terence O Tack most recently updated?
The details pertaining to the Terence O Tack, including its address, specialty, and other relevant information, were last refreshed on 2011-05-02.