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Woodland Eye & Vision

Optometrist in Woodland, WA · enumerated 2007 · authorized official Jeffrey Tack, Optometrist-Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1215063516

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Registry record

Entity type Organization (Type 2)
Legal business name Woodland Eye & Vision
Parent organization Longview Eye & Vision
Practice address 500 Columbia St, Suite A, Woodland, WA, 98674
Phone (360) 225-1010
Fax (360) 225-1730
Enumeration date Feb 23, 2007
Last updated in NPPES Apr 8, 2013

Taxonomy & classification

152W00000X Optometrist Eye and Vision Services Providers Primary
152WC0802X Corneal and Contact Management Optometrist Eye and Vision Services Providers Secondary
152WL0500X Low Vision Rehabilitation Optometrist Eye and Vision Services Providers Secondary
152WP0200X Pediatric Optometrist Eye and Vision Services Providers Secondary
152WS0006X Sports Vision Optometrist Eye and Vision Services Providers Secondary
152WV0400X Vision Therapy Optometrist Eye and Vision Services Providers Secondary
152WX0102X Occupational Vision Optometrist Eye and Vision Services Providers Secondary

Authorized official

Name Jeffrey Tack
Title Optometrist-Owner
Phone (360) 225-1010

Other identifiers

Identifier Type State Issuer
410024013 Other WA RAILROAD MEDICARE
2021772 Medicaid WA -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Woodland Eye & Vision?
The NPI for Woodland Eye & Vision is 1215063516, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Woodland Eye & Vision?
NPPES lists Jeffrey Tack (Optometrist-Owner) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-04-08.