DR. LATRICIA PACK OD
NPI 1043230477
Optometrist in Tahlequah, OK

Q: 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.

Q: What is Latricia Pack's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Q: 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.

Active since July 20, 2006PECOS EnrolledAccepts Medicare Assignment

1001 N GRAND AVE, TAHLEQUAH, OK 74464(918) 458-2109(918) 458-2310 Get Directions Write a Review

NPPES record last updated: July 31, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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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

NPI1043230477

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameDR. LATRICIA PACKCredential: OD

Location Address1001 N GRAND AVETahlequah, OK 74464-7017

Mailing Address1001 N Grand AveTahlequah, OK 74464-7017 · (918) 456-5511

Phone(918) 458-2109

Fax(918) 458-2310

Sole ProprietorNo

Medical School CMSOtherGraduated 1998

Enumeration DateJuly 20, 2006

Last NPPES UpdateJuly 31, 2008

✔ NPI 1043230477 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in OK · 2257

Definition

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.

1001 N GRAND AVE, Tahlequah, OK 74464

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Other Identifiers 3

Medicare UPINU71192

Medicare PIN248235419OK

Medicaid100765190AOK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID7517854987

PECOS Enrollment IDI20120203000617

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

New Patient

$123.06 typical visit price

range $53.00 – $162.61

Typical copayment $30.76 (range $13.25 – $40.65)

Most-billed visit code 99204

Established Patient

$66.48 typical visit price

range $16.68 – $132.40

Typical copayment $16.62 (range $4.17 – $33.10)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

DR. MICHELE BITHER-MARSHALL OD

Optometrist

1001 N GRAND AVE
TAHLEQUAH, OK 74464

Cherokee County (918) 458-2109

DR. RODNEY BENDURE OD

Optometrist

1001 N GRAND AVE
TAHLEQUAH, OK 74464

Cherokee County (918) 458-2109

DR. MEGAN J CHEE O.D.

Optometrist

1001 N GRAND AVE, NSU OKLAHOMA COLLEGE OF OPTOMETRY
TAHLEQUAH, OK 74464

Cherokee County (918) 444-4031

DR. LAURA LAI MING CHAN OD

Optometrist

1001 N GRAND AVE
TAHLEQUAH, OK 74464

Cherokee County (918) 444-4000

HANNAH MUNYAN SIKES OD

Optometrist

1001 N GRAND AVE
TAHLEQUAH, OK 74464

Cherokee County (918) 444-4007

DR. RIYAD KHAMIS O.D

Optometrist

1001 N GRAND AVE
TAHLEQUAH, OK 74464

Cherokee County (918) 822-1299

MR. CEDRICK MAH OD

Optometrist (Low Vision Rehabilitation)

1001 N GRAND AVE
TAHLEQUAH, OK 74464

Cherokee County (918) 444-4000

ETHAN DAVID WOHLGEMUTH OD

Optometrist

1001 N GRAND AVE
TAHLEQUAH, OK 74464

Cherokee County (918) 444-4031

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.

What insurance does Latricia Pack accept?

Health plans from Blue Cross and Blue Shield of Oklahoma and Providence Health Plan 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.