Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JEFFREY S TACK, OD
ActiveJEFFREY S TACK, OD is a Optometrist healthcare provider located in LONGVIEW, Washington. NPI 1710046610 is currently active in the NPPES registry. Verify at CMS.
Optometrist · LONGVIEW, WA
Registration Details
- NPI Number
- 1710046610
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 6, 2006 (19.704676317075 yrs)
- Last Updated
- May 2, 2011
- Licenses
-
OD00002037 (WA)OD00002037 (WA)OD00002037 (WA)OD00002037 (WA)OD00002037 (WA)
Practice Information
- Address
-
820 OCEAN BEACH HWYSUITE 100LONGVIEW, WA, 986324011Browse WA providers · Browse ZIP 98632
- Phone
- 3606362020
- Primary Specialty
-
Optometrist
152W00000X
- Additional Specialty
- Corneal & Contact Management Optometrist
- Additional Specialty
- Low Vision Rehabilitation Optometrist
- 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.