Organization

Longview Eye & Vision

Optometrist in Longview, WA(View on Map)

Legal Business Name

Longview Eye & Vision

NPI Number

1861535197

NPI Type

Organization

Enumeration Date

02/15/2007

Specialties

(Taxonomies)

Contact
Information

Purpose

Mailing
Location

Address

820 OCEAN BEACH HWY
820 OCEAN BEACH HWY

City

Longview
Longview

State

WA
WA

Postal Code

98632-4011
98632-4011

Country

US
US

Telephone Number

(360) 636-2020
(360) 636-2020

Authorized Official

Name

Terence Tack

Title or Position

OPTOMETRIST-OWNER

Telephone Number

(360) 636-2020

Identifiers

Identifier

50D2022229
410024013
2021921

Identifier State

WA
WA
WA

Identifier Issuer

CLIA#
RAIL ROAD MEDICARE
Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 04/27/2017

Provider Address

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Organization

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Organization

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Specialty: Optometrist (Primary)