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TERENCE O TACK OD
NPI 1508925405
Optometrist in Longview, WA

Active since December 06, 2006
820 OCEAN BEACH HWY, SUITE 100, LONGVIEW, WA 98632(360) 636-2020 Get Directions Write a Review

NPPES record last updated: May 2, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Terence O Tack Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TERENCE O TACK OD (NPI 1508925405) is an individual optometrist in Longview, Washington, licensed in Washington (OD00000948) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1508925405
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameTERENCE O TACKCredential: OD
Location Address820 OCEAN BEACH HWY, SUITE 100Longview, WA 98632-4011
Mailing Address820 Ocean Beach Hwy, Suite 100Longview, WA 98632-4080 · (360) 636-2020 · Fax (360) 425-0221
Phone(360) 636-2020
Sole ProprietorNo
Enumeration DateDecember 6, 2006
Last NPPES UpdateMay 2, 2011
✔ NPI 1508925405 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in WA · OD00000948
Definition
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.
Also ListedOptometrist · Corneal and Contact ManagementTaxonomy 152WC0802X · License OD00000948 (WA)
Also ListedOptometrist · Low Vision RehabilitationTaxonomy 152WL0500X · License OD00000948 (WA)
Also ListedOptometrist · PediatricsTaxonomy 152WP0200X · License OD00000948 (WA)
Also ListedOptometrist · Sports VisionTaxonomy 152WS0006X · License OD00000948 (WA)
Also ListedOptometrist · Vision TherapyTaxonomy 152WV0400X · License OD00000948 (WA)
Also ListedOptometrist · Occupational VisionTaxonomy 152WX0102X · License OD00000948 (WA)
820 OCEAN BEACH HWY, Longview, WA 98632
Open in Google Maps ↗

Other Identifiers 5

Other50D2022229WA · Clia #
Other410005544WA · Rail Road Medicare
Medicare ID-Type Unspecified000700143WA
Medicaid2899201WA
Medicare UPINT02063WA

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
99%87 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JEROMY R. DIXSON, D.M.D., P.S.
Dentist (General Practice)
820 OCEAN BEACH HWY, SUITE 110
LONGVIEW, WA 98632
Cowlitz County (360) 577-0566
SMILES DENTAL GROUP, PC
Dentist
820 OCEAN BEACH HWY, SUITE 110
LONGVIEW, WA 98632
Cowlitz County (360) 261-6094
RIVERWOODS CHIROPRACTIC & MASSAGE, PLLC
Chiropractor
820 OCEAN BEACH HWY, SUITE 116
LONGVIEW, WA 98632
Cowlitz County (360) 414-3220
DR. DERRIK PALMER STARK DDS
Dentist (General Practice)
820 OCEAN BEACH HWY, SUITE 110
LONGVIEW, WA 98632
Cowlitz County (360) 577-0566
KRISTI KAYLYNN POE O.D.
Optometrist
820 OCEAN BEACH HWY, SUITE 100
LONGVIEW, WA 98632
Cowlitz County (360) 636-2020
MRS. JACKIE RENEE KISER MA 60513345
Massage Therapist
820 OCEAN BEACH HWY, STE 116
LONGVIEW, WA 98632
Cowlitz County (360) 200-3255
JEFFREY S TACK OD
Optometrist
820 OCEAN BEACH HWY, SUITE 100
LONGVIEW, WA 98632
Cowlitz County (360) 636-2020
LONGVIEW EYE & VISION
Optometrist
820 OCEAN BEACH HWY, SUITE 100
LONGVIEW, WA 98632
Cowlitz County (360) 636-2020

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 Terence Tack's NPI number?

The NPI number for Terence Tack is 1508925405. It was assigned to this individual provider in the NPPES registry on December 6, 2006.

Where is Terence Tack located?

Terence Tack practices at 820 Ocean Beach Hwy Suite 100, Longview, WA 98632. The listed phone number is (360) 636-2020.

What is Terence Tack's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

When was this NPI record last updated?

The NPPES record for Terence Tack was last updated on May 2, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.