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Terence Tack, OD
NPI 1508925405 · on the registry since 2006
Practice
- Address
- 820 Ocean Beach Hwy
Suite 100
Longview, WA 98632 - Phone
- (360) 636-2020
- Organisation at this address
- Mountain Smiles, Pllc
Longview Eye & Vision
Smiles Dental Group, Pc
Jeromy R. Dixson, D.M.D., P.S.
Johnson, Dixson & Pond DentistryInferred from a shared address, not stated in the registry. - Clinicians at this address
- 18
Registry record
- Primary taxonomy
- Optometrist
152W00000X
- Also registered as
- Corneal and Contact Management Optometrist
Low Vision Rehabilitation Optometrist
Pediatric Optometrist
Sports Vision Optometrist
Vision Therapy Optometrist
Occupational Vision Optometrist - Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-05-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington