WOODLAND EYE & VISION
NPI 1215063516
Optometrist in Woodland, WA
About Woodland Eye & Vision NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WOODLAND EYE & VISION (NPI 1215063516) is a healthcare organization registered as an optometrist in Woodland, Washington and active in the NPI registry since February 2007. The organization lists Jeffrey Scott Tack, Optometrist-owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 7
Other Identifiers 4
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Woodland Eye & Vision is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Woodland Eye & Vision, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (5)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Woodland Eye & Vision's NPI number?
The NPI number for Woodland Eye & Vision is 1215063516. It was assigned to this organization in the NPPES registry on February 23, 2007.
Where is Woodland Eye & Vision located?
Woodland Eye & Vision is located at 500 Columbia St Suite A, Woodland, WA 98674. The listed phone number is (360) 225-1010.
What is Woodland Eye & Vision's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Woodland Eye & Vision enrolled in Medicare?
Yes. Woodland Eye & Vision is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Woodland Eye & Vision?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians, all in Optometry, reassign their Medicare billing to Woodland Eye & Vision. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Woodland Eye & Vision was last updated on April 8, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Woodland Eye & Vision · NPI 1215063516
Optometrist organization in Woodland, Washington. Organization record, active in the CMS NPPES registry since February 23, 2007.
## Identity
- **NPI:** 1215063516 (Entity type: Organization)
- **Enumerated:** February 23, 2007
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Organization subpart:** Yes (part of Longview Eye & Vision)
- **Authorized official:** Jeffrey Tack, OPTOMETRIST-OWNER
## Practice location
- **Address:** 500 COLUMBIA ST, SUITE A, Woodland, WA 98674-8491
- **Phone:** (360) 225-1010 · **Fax:** (360) 225-1730
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 5 clinicians (Optometry) reassign Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 8, 2013
- **Other identifiers:** Other 410024013 (WA); Medicaid 2021772 (WA); Medicare PIN GAB05769 (WA); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1215063516) · Data from the CMS NPPES public registry.