Longview Eye & Vision
LBN: Longview Eye & Vision
Longview Eye & Vision is an health care organization with primary practice located at 820 Ocean Beach Hwy Suite 100, Longview WA 98632-4011. The organization recently has 8 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Low Vision Rehabilitation, Eye and Vision Services Providers / Pediatrics, Eye and Vision Services Providers / Sports Vision, Eye and Vision Services Providers / Vision Therapy, Eye and Vision Services Providers / Occupational Vision, Suppliers / Eyewear Supplier (Equipment, not the service). Eye and Vision Services Providers / Optometrist is the primary health care specialty.
Longview Eye & Vision can be contacted via phone (360) 636-2020, or through Tack, Terence Ormal via phone (360) 636-2020.
Contact Information
Primary practice address
820 Ocean Beach Hwy Suite 100
Longview WA 98632-4011
Phone: (360) 636-2020
Fax: (360) 425-0221
Website:
Authorized official contact:
Name: Tack, Terence Ormal Doctor of Optometry (OD)
Phone: (360) 636-2020
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | ||
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | ||
| Eye and Vision Services Providers / Low Vision Rehabilitation | 152WL0500X | ||
| Eye and Vision Services Providers / Pediatrics | 152WP0200X | ||
| Eye and Vision Services Providers / Sports Vision | 152WS0006X | ||
| Eye and Vision Services Providers / Vision Therapy | 152WV0400X | ||
| Eye and Vision Services Providers / Occupational Vision | 152WX0102X | ||
| Suppliers / Eyewear Supplier (Equipment, not the service) | 332H00000X |
Profile Details
| NPI number | 1861535197 |
|---|---|
| LBN Legal business name | Longview Eye & Vision |
| DBA Doing business as | |
| Authorized official | Tack, Terence Ormal Doctor of Optometry (OD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 15th, 2007 |
| Last updated | Apr 27th, 2017 - about 8 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861535197 | NPPES |
| Washington | Other | 50D2022229 | CLIA# |
| Washington | Other | 410024013 | CLIA# |
| Washington | MEDICAID | 2021921 | CLIA# |
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