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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TERENCE O TACK, OD

Active

TERENCE O TACK, OD is a Optometrist healthcare provider located in LONGVIEW, Washington. NPI 1508925405 is currently active in the NPPES registry. Verify at CMS.

Optometrist · LONGVIEW, WA

Registration Details

NPI Number
1508925405
Provider Type
Individual
Gender
Male
NPI Issued
Dec 6, 2006 (19.704179725258 yrs)
Last Updated
May 2, 2011
Licenses
OD00000948 (WA)
OD00000948 (WA)
OD00000948 (WA)
OD00000948 (WA)
OD00000948 (WA)

Practice Information

Address
820 OCEAN BEACH HWY
SUITE 100
LONGVIEW, WA, 986324011
Browse WA providers · Browse ZIP 98632
Phone
3606362020
Primary Specialty
Optometrist
152W00000X
Additional Specialty
Pediatric Optometrist
Additional Specialty
Sports Vision Optometrist

Other Optometrist Providers in LONGVIEW, WA

Name Credential NPI
DR. CHARLES A. WARDLE OD 1649277245
JEFFREY A FRIES OD 1407821499
DR. STEPHANIE R SIPE OD 1740225077
MICHAEL D. BERGER O.D. 1073526554
DR. JAMES THEODORE HENNIG O.D. 1912008269
DR. BARBARA M BERGER O.D. 1780778670
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.