DR. LATRICIA PACK OD
NPI 1043230477
Optometrist in Tahlequah, OK
About Dr. Latricia Pack Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. LATRICIA PACK OD (NPI 1043230477) is an individual optometrist in Tahlequah, Oklahoma, licensed in Oklahoma (2257) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1998).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Latricia Pack Od is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Latricia Pack reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Tahlequah, OK 74464
- Reassigned Medicare billing, Oklahoma enrollment
- 96 clinicians in this Medicare group
Tahlequah, OK 74464
- Reassigned Medicare billing, Texas enrollment
- 1,047 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 74464 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
TAHLEQUAH, OK 74464
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Latricia Pack's NPI number?
The NPI number for Latricia Pack is 1043230477. It was assigned to this individual provider in the NPPES registry on July 20, 2006.
Where is Latricia Pack located?
Latricia Pack practices at 1001 N Grand Ave, Tahlequah, OK 74464. The listed phone number is (918) 458-2109.
What is Latricia Pack's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Latricia Pack enrolled in Medicare?
Yes. Latricia Pack is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Latricia Pack's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Latricia Pack reassigns Medicare benefits to 2 organizations: Northeastern State University College Of Optometry (Tahlequah, OK) and Cherokee Nation (Tahlequah, OK). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Latricia Pack's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Latricia Pack accept?
Health plans from Blue Cross and Blue Shield of Oklahoma, Oscar Health, Oscar Health Insurance, Oscar Health Maintenance Organization of Florida and Oscar Health Plan of North Carolina, Inc and 4 other insurers list Latricia Pack as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Latricia Pack was last updated on July 31, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Latricia Pack, OD · NPI 1043230477
Optometrist provider in Tahlequah, Oklahoma. Individual provider, active in the CMS NPPES registry since July 20, 2006.
## Identity
- **NPI:** 1043230477 (Entity type: Individual)
- **Enumerated:** July 20, 2006
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 2257 (Oklahoma)
- **Sole proprietor:** No
## Practice location
- **Address:** 1001 N GRAND AVE, Tahlequah, OK 74464-7017
- **Phone:** (918) 458-2109 · **Fax:** (918) 458-2310
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Northeastern State University College Of Optometry (NPI 1437106333, Tahlequah, OK); Cherokee Nation (NPI 1275799645, Tahlequah, OK) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1998
## Record status
- **NPPES last updated:** July 31, 2008
- **Other identifiers:** Medicare UPIN U71192; Medicare PIN 248235419 (OK); Medicaid 100765190A (OK)
---
Source: [NPI Profile](https://npiprofile.com/npi/1043230477) · Data from the CMS NPPES public registry.