LONGVIEW EYE & VISION
NPI 1861535197
Optometrist in Longview, WA

Active since February 15, 2007CLIA 50D2022229 · Waiver
820 OCEAN BEACH HWY, SUITE 100, LONGVIEW, WA 98632(360) 636-2020(360) 425-0221 Get Directions Write a Review

NPPES record last updated: April 27, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Longview Eye & Vision NPPES

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

LONGVIEW EYE & VISION (NPI 1861535197) is a healthcare organization registered as an optometrist in Longview, Washington and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Terence Ormal Tack, Optometrist-owner, as its authorized official.

NPPES Registry Identity

NPI1861535197
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameLONGVIEW EYE & VISION
Location Address820 OCEAN BEACH HWY, SUITE 100Longview, WA 98632-4011
Mailing Address820 Ocean Beach Hwy, Suite 100Longview, WA 98632-4011 · (360) 636-2020 · Fax (360) 425-0221
Fax(360) 425-0221
Organization SubpartNo
Authorized OfficialTerence Ormal TackOptometrist-owner · (360) 636-2020
Enumeration DateFebruary 15, 2007
Last NPPES UpdateApril 27, 2017
NPI 1861535197 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
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
Also ListedOptometrist · Low Vision RehabilitationTaxonomy 152WL0500X
Also ListedOptometrist · PediatricsTaxonomy 152WP0200X
Also ListedOptometrist · Sports VisionTaxonomy 152WS0006X
Also ListedOptometrist · Vision TherapyTaxonomy 152WV0400X
Also ListedOptometrist · Occupational VisionTaxonomy 152WX0102X
Also ListedEyewear SupplierTaxonomy 332H00000X
820 OCEAN BEACH HWY, Longview, WA 98632

Other Identifiers 5

Medicare NSC0715790001WA
Medicaid2021921WA
Other50D2022229WA · Clia#
Medicare PING115122000WA
Other410024013WA · Rail Road Medicare

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 50D2022229

Longview Eye And Vision · Longview, WA
Active · expires Apr 4, 2028
CLIA Number50D2022229
Laboratory TypePhysician Office
Certificate Effective DateApril 2, 2012
Certificate Expiration DateApril 4, 2028
Laboratory DirectorJeffrey S. Tack
Laboratory Phone(360) 636-2020
Laboratory LocationLongview Eye And Vision820 Ocean Beach Hwy Ste 100, Longview, WA 98632
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS 3

Medicare supplier enrollment and the product categories Longview Eye & Vision carries, from the Medicare DMEPOS supplier directory.

Longview Eye & Vision

DMEPOS supplier · Longview, WA

Accepts Medicare assignment

Longview Eye & Vision agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20646899
Medicare Participant SinceJanuary 1, 1998
Supplier Location820 Ocean Beach Hwy Ste 100Longview, WA 98632
Supplier Specialties
Optometrist Optician

Medicare Product Categories

Prosthetic Lenses: Conventional Eyeglasses
Conventional Eyeglasses
Prosthetic Lenses: Conventional Contact Lenses
Conventional Contact Lenses
Prosthetic Lenses: Prosthetics Cataract Lenses
Cataract Eyeglasses
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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
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
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 Longview Eye & Vision's NPI number?

The NPI number for Longview Eye & Vision is 1861535197. It was assigned to this organization in the NPPES registry on February 15, 2007.

Where is Longview Eye & Vision located?

Longview Eye & Vision is located at 820 Ocean Beach Hwy Suite 100, Longview, WA 98632. The listed phone number is (360) 636-2020.

What is Longview Eye & Vision's specialty?

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

Does Longview Eye & Vision accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Longview Eye & Vision accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Longview Eye & Vision hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2022229) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Longview Eye & Vision accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Longview Eye & Vision 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 Longview Eye & Vision was last updated on April 27, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.