Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jeffrey S Tack, OD

Individual provider Optometrist · NPI 1710046610

Jeffrey S Tack, OD is an Optometry in Longview, Washington. Graduated from Pacific University - College of Optometry in 1991, 35 years ago. Practices with Longview Eye and Vision, a 3-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
35
Trained at
Pacific University - College of Optometry
Licensed in
WA
In the registry since
2006
Specialties on file
7
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

820 Ocean Beach Hwy Ste 100
Longview, WA 98632-4011
Phone: (360) 636-2020
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence OD00002037 (WA)
Corneal and Contact Management Optometrist Taxonomy 152WC0802X · Licence OD00002037 (WA)
Low Vision Rehabilitation Optometrist Taxonomy 152WL0500X · Licence OD00002037 (WA)
Pediatric Optometrist Taxonomy 152WP0200X · Licence OD00002037 (WA)
Sports Vision Optometrist Taxonomy 152WS0006X · Licence OD00002037 (WA)
Vision Therapy Optometrist Taxonomy 152WV0400X · Licence OD00002037 (WA)
Occupational Vision Optometrist Taxonomy 152WX0102X · Licence OD00002037 (WA)

Record details

NPI number1710046610
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedDecember 6, 2006
Last updated in NPPESMay 2, 2011
Mailing address820 Ocean Beach Hwy, Suite 100, Longview, WA 98632-4080

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolPACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Graduated 1991 (35 years in practice)
Group practice Longview Eye And Vision — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Longview