TERENCE O TACK (OD) – Optometrist, NPI 1508925405
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Provider Addresses for TERENCE O TACK (OD)
820, Ocean Beach Highway, Columbia Valley Gardens, Longview, Cowlitz County, Washington, 98632, United States
SUITE 100
LONGVIEW, WA 986324080
Phone: (360) 636-2020
Fax: (360) 425-0221
Mailing address matches the actual address.
NPPES updates history
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Medicare Enrollment & Revalidation
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Medicare Utilization (FFS)
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Insurance plans in this area (ZIP 98632)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OPTOMETRY | WA | 92134 | Diagnostic imaging of retina | 23 | 21 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | WA | |
| O P T O M E T R Y | WA | |
| O P T O M E T R Y | WA |
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