Individual provider · Type 1 NPI

Travis Pack Lafayette, OD

Optometrist · Portland, OR

NPI number 1871606293 Active

Practice location

19500 SE Stark St
Portland, OR 97233-5757

Call (503) 669-3900 Map

Mailing address

13865 SE 119th Dr
Clackamas, OR 97015-7607

Specialties and licenses

TaxonomyCodeLicense
Optometrist Primary 152W00000XOR 2729T (OR)
Optometrist 152W00000XWA OD00003720 (WA)

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 e…

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About NPI 1871606293

Travis Pack Lafayette, OD's National Provider Identifier is 1871606293, issued on Aug 17, 2006. The primary taxonomy on file is Optometrist (152W00000X), and the practice location is in Portland, OR. The record was last updated on Jul 8, 2007.