Organization
LONGVIEW EYE & VISION
Active
Parent organization
CATHLAMET EYE & VISION
Organization subpart
Yes
Provider details
NPI number
Legal business name
CATHLAMET EYE & VISION
Authorized official
TERENCE ORMAL TACK OD (OPTOMETRIST-OWNER)
(360) 795-3223
Entity
Organization
Contact information
Practice address
180 3RD STREET, CATHLAMET, WA 98612
(360) 795-3223
(360) 795-0738
Mailing address
PO BOX 399, CATHLAMET, WA 98612-0399
(360) 795-3223
(360) 795-0738
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
152WC0802X
Corneal and Contact Management Optometrist
—
—
152WL0500X
Low Vision Rehabilitation Optometrist
—
—
152WP0200X
Pediatric Optometrist
—
—
152WS0006X
Sports Vision Optometrist
—
—
152WV0400X
Vision Therapy Optometrist
—
—
152WX0102X
Occupational Vision Optometrist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2027118
—
WA
01
—
410005544
RAIL ROAD MEDICARE
WA
Enumeration date
02/26/2007
Last updated
04/08/2013
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