Jeffrey S Tack, OD in Longview, WA - Medicare Optometry Provider

Jeffrey S Tack, OD is a medicare enrolled "Optometrist" provider in Longview, Washington. He went to Pacific University - College Of Optometry and graduated in 1991 and has 33 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Longview Eye And Vision and his current practice location is 820 Ocean Beach Hwy, Suite 100, Longview, Washington. You can reach out to his office (for appointments etc.) via phone at (360) 636-2020.

Jeffrey S Tack is licensed to practice in Washington (license number OD00002037) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1710046610.

Contact Information

	Jeffrey S Tack, OD
	820 Ocean Beach Hwy, Suite 100, Longview, WA 98632-4011
	(360) 636-2020
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jeffrey S Tack
Gender	Male
Speciality	Optometry
Experience	33 Years
Location	820 Ocean Beach Hwy, Longview, Washington
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jeffrey S Tack attended and graduated from Pacific University - College Of Optometry in 1991

NPI Data:

NPI Number: 1710046610
Provider Enumeration Date: 12/06/2006
Last Update Date: 05/02/2011

Medicare PECOS Information:

PECOS PAC ID: 3779578554
Enrollment ID: I20040701000323

Medical Identifiers

Medical identifiers for Jeffrey S Tack such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710046610	NPI	-	NPPES
410024013	Other	WA	RAIL ROAD MEDICARE
2013696	Medicaid	WA
50D2022229	Other	WA	CLIA#

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	OD00002037 (Washington)	Primary
152WC0802X	Optometrist - Corneal And Contact Management	OD00002037 (Washington)	Secondary
152WL0500X	Optometrist - Low Vision Rehabilitation	OD00002037 (Washington)	Secondary
152WP0200X	Optometrist - Pediatrics	OD00002037 (Washington)	Secondary
152WS0006X	Optometrist - Sports Vision	OD00002037 (Washington)	Secondary
152WV0400X	Optometrist - Vision Therapy	OD00002037 (Washington)	Secondary
152WX0102X	Optometrist - Occupational Vision	OD00002037 (Washington)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Longview Eye And Vision	5395639959	3

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jeffrey S Tack allows following entities to bill medicare on his behalf.

Provider Name	Longview Eye & Vision
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1861535197 PECOS PAC ID: 5395639959 Enrollment ID: O20040212000863

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jeffrey S Tack is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Jeffrey S Tack, OD 820 Ocean Beach Hwy, Suite 100, Longview, WA 98632-4080 Ph: (360) 636-2020	Jeffrey S Tack, OD 820 Ocean Beach Hwy, Suite 100, Longview, WA 98632-4011 Ph: (360) 636-2020

Reviews and Comments

Optometrist in Longview, WA

Ian Matthew Cheslock, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 950 11th Ave, Longview, WA 98632 Phone: 360-577-1500 Fax: 360-425-0735
Michael D. Berger, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1230 7th Ave, Longview, WA 98632 Phone: 360-575-4801
Charles A Wardle Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1426 Commerce Ave, Longview, WA 98632 Phone: 360-423-7650 Fax: 360-423-2346
Kristi Kaylynn Poe, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 820 Ocean Beach Hwy, Suite 100, Longview, WA 98632 Phone: 360-636-2020 Fax: 360-425-0221
Cascade Eye Care Ps Optometrist Medicare: Medicare Enrolled Practice Location: 950 11th Ave, Longview, WA 98632 Phone: 360-577-1500 Fax: 360-425-0735
Jeffrey A Fries, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1230 7th Ave, Longview, WA 98632 Phone: 877-213-2000
Paul Nefedov, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 600 Triangle Ctr Ste 400, Longview, WA 98632 Phone: 360-423-0220 Fax: 360-423-0697

Jeffrey S Tack, OD - Medicare Optometrist in Longview, WA