LONGVIEW EYE & VISION NPI 1861535197

NPI Information

NPI: 1861535197
Provider Name: LONGVIEW EYE & VISION
Classification: Optometrist - 152W00000X
Entity Type: Organization
CLIA Number: 50D2022229
Address: 820 OCEAN BEACH HWY
SUITE 100
LONGVIEW, WA
ZIP 98632
Phone: (360) 636-2020

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NPI Details

LONGVIEW EYE & VISION is an optometrist in Longview, WA. The provider is doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. LONGVIEW EYE & VISION NPI is 1861535197. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

820 OCEAN BEACH HWY
SUITE 100
LONGVIEW, WA
ZIP 98632-011
Phone: (360) 636-2020
Fax: (360) 425-0221

The provider's authorized official is Terence Ormal Tack .
The authorized official title is Optometrist-owner and has the following contact phone number (360) 636-2020.

The CLIA number assigned to this NPI record is 50D2022229 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/15/2007 and was last updated on 4/27/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	152WC0802X	Optometrist	Corneal and Contact Management	No
2	152WL0500X	Optometrist	Low Vision Rehabilitation	No
3	152WP0200X	Optometrist	Pediatrics	No
4	152WS0006X	Optometrist	Sports Vision	No
5	152WV0400X	Optometrist	Vision Therapy	No
6	152WX0102X	Optometrist	Occupational Vision	No
7	332H00000X	Eyewear Supplier		No
8	152W00000X	Optometrist		Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0715790001	MEDICARE NSC	WASHINGTON
2	2021921	MEDICAID	WASHINGTON
3	50D2022229	OTHER	WASHINGTON	CLIA#
4	G115122000	MEDICARE PIN	WASHINGTON
5	410024013	OTHER	WASHINGTON	RAIL ROAD MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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