Dr. Latricia Pack is a Tahlequah, Oklahoma based female Optometrist with 26 years of experience in Optometry. She completed her graduation from Other in 1998. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Latricia Pack is 2257 for Optometry in Oklahoma. Dr. Latricia Pack 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. She 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. She is a eye health care professional who is state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Complete Profile:
Dr. Latricia Pack speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Optometry
Credentials:
OD
Experience:
26+ years
Medical School Attended:
Other
Graduation Year:
1998
Gender:
Female
Accepts Medicare Assignment:
Yes
Practice Address:
1001 N Grand Ave, Tahlequah, Oklahoma, 74464-7017
Phone:
918-458-2109
Fax:
918-458-2310
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
7517854987
Enrollment ID:
I20040301000914
NPI Number:
1043230477
NPI Enumeration Date:
20 Jul, 2006
NPI Last Update On:
31 Jul, 2008
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Latricia Pack are as mentioned below.
License Number
Specialization
State
Status
2257
Optometry
Oklahoma
Primary
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Dr. Latricia Pack has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Cherokee Nation (5799698742)
306
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Latricia Pack such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
100765190A
Medicaid
Oklahoma
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1001 N Grand Ave, Tahlequah, Oklahoma
Zip:
74464-7017
Phone Number:
918-456-5511
Fax Number:
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Patients can reach Dr. Latricia Pack at 1001 N Grand Ave, Tahlequah, Oklahoma or can call to book an appointment on 918-458-2109. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.