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Active NPI 1710046610 Individual Practitioner Male Practitioner

Dr. Jeffrey S Tack , OD

Optometrist • Longview, WA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Jeffrey Tack, OD is a certified Optometrist practicing in Longview, WA. With approximately 35 years of clinical experience since graduating from Pacific University - College Of Optometry in 1991, Dr. Tack delivers high-quality medical care to the local community at 820 OCEAN BEACH HWY.

Dr. Tack is affiliated with Longview Eye And Vision and accepts Medicare assignment.

Frequently performed procedures and clinical services include photography of the retina, established patient outpatient office visit, established patient complete exam of visual system. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

820 Ocean Beach Hwy
Suite 100

Longview, WA 986324011

Telephone 3606362020
Associated Practice Facility / Clinic
🏢 Longview Eye & Vision Facility NPI 1861535197

Medicare Profile & Education

Medical School

Pacific University - College Of Optometry

Graduation Year

1991

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Longview, WA

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
35 Yrs +18.5 yrs vs City Avg
City Avg: 16.5 Yrs
State Avg: 20.4 Yrs
Regional Practice Density
20 Specialists

Practicing in Longview, WA (1692 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
46.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Tack (35 Years) 35 Yrs
Longview Specialty Average (16.5 Years) 16.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
92250 Photography of the retina
347 334 $133.00 $34.72
99213 Established patient office or other outpatient visit, typically 15 minutes
204 106 $118.00 $84.66
92014 Established patient complete exam of visual system
200 200 $187.00 $119.91
92273 Full field recording of retinal electrical responses to external stimuli with interpretation and report
67 61 $140.00 $118.90
92083 Exam of visual field with extended testing
45 43 $146.00 $57.34
92133 Imaging of optic nerve
36 35 $74.00 $31.25
92132 Imaging of front third of eye
31 30 $60.00 $26.60
92134 Imaging of retina
23 18 $76.00 $36.49
66984 Removal of cataract with insertion of lens
18 14 $244.00 $99.45
92004 New patient complete exam of visual system
15 15 $224.00 $143.86

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License WA OD00002037

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.

Optometrist - Corneal and Contact Management

NUCC Taxonomy Code: 152WC0802X

State License WA OD00002037

The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear.

Optometrist - Low Vision Rehabilitation

NUCC Taxonomy Code: 152WL0500X

State License WA OD00002037

Optometrists who specialize in low-vision care having training to assess visual function, prescribe low-vision devices, develop treatment plans, and recommend other vision rehabilitation services.

Optometrist - Pediatrics

NUCC Taxonomy Code: 152WP0200X

State License WA OD00002037

Optometrists who work in Pediatrics are concerned with the prevention, development, diagnosis, and treatment of visual problems in children.

Optometrist - Sports Vision

NUCC Taxonomy Code: 152WS0006X

State License WA OD00002037

An optometrist who offers services designed to care for unique vision care needs of athletes, which may include one of more of the following services: corrective vision care unique to a specific sporting environment; protective eyewear for the prevention of sports-related injuries; vision enhancement - which may include vision therapy and techniques to improve visual skills specific to the athlete's sport.

Optometrist - Vision Therapy

NUCC Taxonomy Code: 152WV0400X

State License WA OD00002037

Optometrists who specialize in vision therapy as a treatment process used to improve vision function. It includes a broad range of developmental and rehabilitative treatment programs individually prescribed to remediate specific sensory, motor and/or visual perceptual dysfunctions.

Optometrist - Occupational Vision

NUCC Taxonomy Code: 152WX0102X

State License WA OD00002037

Optometrists who work in Occupational Vision, the branch of environmental optometry, consider all aspects of the relationship between work and vision, visual performances, eye safety, and health.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
2013696 (WA)
Commercial Insurance / Payer ID Rail Road Medicare
410024013 (WA)
Commercial Insurance / Payer ID Clia#
50D2022229 (WA)

Hospital & Practice Group Affiliations

Longview Eye And Vision

500 Columbia St, Woodland, WA 986748491

Phone: 3602251010

Longview Eye And Vision

820 Ocean Beach Hwy, Longview, WA 986324081

Phone: 3606362020

Longview Eye And Vision

820 Ocean Beach Hwy 100, Longview, WA 986324081

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
NPI 1386878965

Doctor of Optometry

NPI 1508925405

Doctor of Optometry

NPI 1558093591

Doctor of Optometry

Irina Rutkowski

Optometrist

NPI 1568839231

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active May 02, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location May 02, 2011

Registered at 820 OCEAN BEACH HWY, SUITE 100, LONGVIEW, WA 986324011 (Tel: 3606362020)

📍
Updated Business Mailing Address May 02, 2011

Registered at 820 OCEAN BEACH HWY, SUITE 100, LONGVIEW, WA 986324080 (Tel: 3606362020)

👤
Provider Name / Credentials Updated May 02, 2011

Recorded as JEFFREY TACK, OD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 02, 2011

Optometrist (License #OD00002037 in WA)

🟢
Initial NPI Registration & Enumeration December 06, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1710046610
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 06, 2006
Last Update: May 02, 2011
Sole Proprietor: No

Mailing Address

820 Ocean Beach Hwy, Suite 100

Longview, WA 986324080

Phone: 3606362020

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.