JEFFREY S TACK OD
NPI 1710046610
Optometrist in Longview, WA

Active since December 06, 2006PECOS EnrolledAccepts Medicare Assignment
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: July 19, 2026.

About Jeffrey S Tack Od NPPES

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

JEFFREY S TACK OD (NPI 1710046610) is an individual optometrist in Longview, Washington, licensed in Washington (OD00002037) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS and is a graduate of Pacific University - College Of Optometry (1991).

NPPES Registry Identity

NPI1710046610
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameJEFFREY S 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
Sole ProprietorNo
Medical School CMSPacific University - College Of OptometryGraduated 1991
Enumeration DateDecember 6, 2006
Last NPPES UpdateMay 2, 2011
NPI 1710046610 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 · OD00002037
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 OD00002037 (WA)
Also ListedOptometrist · Low Vision RehabilitationTaxonomy 152WL0500X · License OD00002037 (WA)
Also ListedOptometrist · PediatricsTaxonomy 152WP0200X · License OD00002037 (WA)
Also ListedOptometrist · Sports VisionTaxonomy 152WS0006X · License OD00002037 (WA)
Also ListedOptometrist · Vision TherapyTaxonomy 152WV0400X · License OD00002037 (WA)
Also ListedOptometrist · Occupational VisionTaxonomy 152WX0102X · License OD00002037 (WA)
820 OCEAN BEACH HWY, Longview, WA 98632

Other Identifiers 5

Medicaid2013696WA
Other410024013WA · Rail Road Medicare
Medicare ID-Type Unspecified000700266WA
Other50D2022229WA · Clia#
Medicare UPINU29244WA

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jeffrey S Tack Od is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3779578554
PECOS Enrollment IDI20040701000323
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
430 services411 patients
Established patient office or other outpatient visit, 20-29 minutes 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
276 services156 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
224 services224 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
65 services62 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
63 services63 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
43 services29 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98632 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$130.99 typical visit price
range $57.27 – $172.80
Typical copayment $32.74 (range $14.31 – $43.20)
Most-billed visit code 99204
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Optometrist
820 OCEAN BEACH HWY, SUITE 100
LONGVIEW, WA 98632
Optometrist
820 OCEAN BEACH HWY, SUITE 100
LONGVIEW, WA 98632
Dentist (General Practice)
820 OCEAN BEACH HWY, SUITE 110
LONGVIEW, WA 98632
Dentist (General Practice)
820 OCEAN BEACH HWY, SUITE 110
LONGVIEW, WA 98632
Chiropractor
820 OCEAN BEACH HWY, SUITE 116
LONGVIEW, WA 98632
Massage Therapist
820 OCEAN BEACH HWY, STE 116
LONGVIEW, WA 98632
Optometrist
820 OCEAN BEACH HWY, SUITE 100
LONGVIEW, WA 98632
Dentist
820 OCEAN BEACH HWY, SUITE 110
LONGVIEW, WA 98632

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 Jeffrey Tack's NPI number?

The NPI number for Jeffrey Tack is 1710046610. It was assigned to this individual provider in the NPPES registry on December 6, 2006.

Where is Jeffrey Tack located?

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

What is Jeffrey Tack's specialty?

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

Is Jeffrey Tack enrolled in Medicare?

Yes. Jeffrey Tack is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jeffrey Tack accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Jeffrey Tack as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

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