WOODLAND EYE & VISION (NPI# 1215063516) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215063516 |
| Entity Type | Organization |
| Organization Name | WOODLAND EYE & VISION |
| Practice Address |
500 Columbia St Suite A Woodland WA 98674-8491 |
| Practice Telephone | 3602251010 |
| Practice Fax Number | 3602251730 |
| Mailing Telephone | 3602251010 |
| Mailing Fax Number | 3602251730 |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2013-04-08 |
| Authorized Official Name | JEFFREY SCOTT TACK (OPTOMETRIST-OWNER) |
| Authorized Official Telephone | 3602251010 |
| Authorized Official Credential | OD |
| Is Organization Subpart | Y |
| Parent Organization Name | LONGVIEW EYE & VISION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152WC0802X |
Optometrist Specialization: Corneal and Contact Management |
Eye and Vision Services Providers | ||
| N | 152WL0500X |
Optometrist Specialization: Low Vision Rehabilitation |
Eye and Vision Services Providers | ||
| N | 152WP0200X |
Optometrist Specialization: Pediatrics |
Eye and Vision Services Providers | ||
| N | 152WS0006X |
Optometrist Specialization: Sports Vision |
Eye and Vision Services Providers | ||
| N | 152WV0400X |
Optometrist Specialization: Vision Therapy |
Eye and Vision Services Providers | ||
| N | 152WX0102X |
Optometrist Specialization: Occupational Vision |
Eye and Vision Services Providers | ||
| Y | 152W00000X | Optometrist | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | RAILROAD MEDICARE | 410024013 | 01 |
| WA | 2021772 | 05 |
| Street Address |
500 COLUMBIA ST SUITE A |
| City | WOODLAND |
| State | WA |
| Zip Code | 98674-8491 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962717520 | Bryan C Johnson Dmd PC | Clinic/Center | 500 Columbia St, Suite B, Woodland, WA 98674-8491 | 2010-08-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790328409 | Susan E Van Skike | Social Worker | 38503 Nw Goose Hill Avenue, Woodland, WA 98674 | 2019-10-25 |
| 1336599323 | Erin Hutchinson | Counselor | 1251 Lewis River Road, Ste. A, Woodland, WA 98674 | 2016-06-21 |
| 1972977577 | Kelsey Ann Miller | Speech-Language Pathologist | 800 Second Street Wsd Special Service, Woodland, WA 98674 | 2015-11-19 |
| 1598194482 | Elizabeth Grendahl | Massage Therapist | 1227-h North Goerig, Woodland, WA 98674 | 2013-11-01 |
| 1417258674 | Safeway Pharmacy | Pharmacy | Safeway 1725 Pacific Avenue, Woodland, WA 98674 | 2010-11-04 |
| 1538370267 | Tiffany Marie Rose | Massage Therapist | 38803 Ne 2nd Ave, Lacenter, WA 98674 | 2007-05-24 |
| 1417161555 | Jack L Vandyke | Dentist | 640 Georig St, Woodland, WA 98674 | 2007-05-09 |
| 1619934007 | Pearson Medical Clinic Pllc | Internal Medicine | 527 2nd Street, Woodland, WA 98674 | 2006-04-28 |
| 1083914733 | Wal-mart Stores Inc | Technician/Technologist | 1486 Dike Access Rd, Woodland, VA 98674 | 2010-10-28 |
| 1710018213 | Tammy Wallace | Specialist | 1227 Goerig Rd, Ste H, Woodland, WA 98674 | 2007-03-08 |
| Find all providers in zip 98674 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| 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. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235786898 | Ernest Chang | Optometrist | 421 Pioneer Ave, Woodland, CA 95776-4948 | 2019-08-19 |
| 1043669062 | Chao Sun | Optometrist | 1836 Mezger Dr, Woodland, CA 95776-5192 | 2016-06-09 |
| 1497983811 | Jennifer Tran | Optometrist | 1486 Dike Access Rd, Woodland, WA 98674-9359 | 2009-06-24 |
| 1114099157 | Kali Javon Leonard | Optometrist | 421 B Pioneer Ave, Woodland, CA 95776 | 2006-11-14 |
| 1194897132 | Ellen Beth Liebowitz | Optometrist | 421 Pioneer Ave Ste B, Woodland, CA 95776-4948 | 2006-11-14 |
| 1235750449 | Thomas Fong | Optometrist | 2299 Bronze Star Dr, Woodland, CA 95776-5409 | 2020-04-28 |
| 1558790386 | Robert S Svensen | Optometrist | 76 County Road 64, Woodland, AL 36280-5209 | 2013-11-02 |
| 1063781235 | Lana Tu | Optometrist | 610 Cottonwood St, Woodland, CA 95695-3615 | 2011-12-17 |
| 1346525656 | Lisa Heuer, Od, A Professional Corporation | Optometrist | 316 Walnut St, Woodland, CA 95695-3141 | 2011-10-18 |
| 1427357169 | Transvision Eyecare Pllc | Optometrist | 1486 Dike Access Rd, Woodland, WA 98674-9359 | 2011-03-21 |
| Find all providers in WOODLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.