NPI 1508925405

Terence O Tack, OD

Practitioner Optometrist Longview, WA

Practice location

Address: 820 Ocean Beach Hwy Suite 100, Longview, WA 98632-4011
Phone: (360) 636-2020
Mailing address: 820 Ocean Beach Hwy Suite 100, Longview, WA 98632-4080

Registered specialties (7)

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence OD00000948 (WA)

Other Optometrist providers in Washington →

Corneal and Contact Management Optometrist

Eye and Vision Services Providers Taxonomy 152WC0802X Licence OD00000948 (WA)

Low Vision Rehabilitation Optometrist

Eye and Vision Services Providers Taxonomy 152WL0500X Licence OD00000948 (WA)

Pediatric Optometrist

Eye and Vision Services Providers Taxonomy 152WP0200X Licence OD00000948 (WA)

Sports Vision Optometrist

Eye and Vision Services Providers Taxonomy 152WS0006X Licence OD00000948 (WA)

Vision Therapy Optometrist

Eye and Vision Services Providers Taxonomy 152WV0400X Licence OD00000948 (WA)

Occupational Vision Optometrist

Eye and Vision Services Providers Taxonomy 152WX0102X Licence OD00000948 (WA)

Registry record

NPI: 1508925405
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Dec 2006
Record last updated: 2 May 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.