| Longview Eye & Vision | |
|
820 Ocean Beach Hwy, Suite 100, Longview, WA 98632-4011 | |
| (360) 636-2020 | |
| (360) 425-0221 |
| Full Name | Longview Eye & Vision |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 820 Ocean Beach Hwy, Longview, Washington |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861535197 | NPI | - | NPPES |
| 50D2022229 | Other | WA | CLIA# |
| 410024013 | Other | WA | RAIL ROAD MEDICARE |
| 2021921 | Medicaid | WA |
| Provider Name | Jeffrey S Tack |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1710046610 PECOS PAC ID: 3779578554 Enrollment ID: I20040701000323 |
| Provider Name | Kristi K Poe |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1386878965 PECOS PAC ID: 1557486701 Enrollment ID: I20100913000362 |
| Provider Name | Crystal Edison |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1386953461 PECOS PAC ID: 0143458638 Enrollment ID: I20140107001396 |
| Provider Name | Irina Rutkowski |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1568839231 PECOS PAC ID: 5294035853 Enrollment ID: I20210610003117 |
| Provider Name | Elijah Allan Jackson Bannister |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1558093591 PECOS PAC ID: 1658747001 Enrollment ID: I20221026001582 |
| Mailing Address | Practice Location Address |
|---|---|
| Longview Eye & Vision 820 Ocean Beach Hwy, Suite 100, Longview, WA 98632-4011 Ph: (360) 636-2020 | Longview Eye & Vision 820 Ocean Beach Hwy, Suite 100, Longview, WA 98632-4011 Ph: (360) 636-2020 |
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 |