Woodland Eye & Vision
LBN: Woodland Eye & Vision
Woodland Eye & Vision is an health care organization with primary practice located at 500 Columbia St Suite A, Woodland WA 98674-8491. The organization recently has 7 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. Eye and Vision Services Providers / Optometrist is the primary health care specialty.
Woodland Eye & Vision can be contacted via phone (360) 225-1010, or through Tack, Jeffrey Scott via phone (360) 225-1010.
Contact Information
Primary practice address
500 Columbia St Suite A
Woodland WA 98674-8491
Phone: (360) 225-1010
Fax: (360) 225-1730
Website:
Authorized official contact:
Name: Tack, Jeffrey Scott Doctor of Optometry (OD)
Phone: (360) 225-1010
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 |
Profile Details
NPI number | 1215063516 |
---|---|
LBN Legal business name | Woodland Eye & Vision |
DBA Doing business as | |
Authorized official | Tack, Jeffrey Scott Doctor of Optometry (OD) |
Entity | Organization |
Organization subpart 1 | Yes |
Enumeration date | Feb 23rd, 2007 |
Last updated | Apr 8th, 2013 - about 11 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 | 1215063516 | NPPES |
Washington | Other | 410024013 | RAILROAD MEDICARE |
Washington | MEDICAID | 2021772 | RAILROAD MEDICARE |
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