NPI 1043230477

Latricia Pack, OD

Practitioner Optometrist Tahlequah, OK

Practice location

Address: 1001 N Grand Ave, Tahlequah, OK 74464-7017
Phone: (918) 458-2109
Fax: (918) 458-2310

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 2257 (OK)

Other Optometrist providers in Oklahoma →

Registry record

NPI: 1043230477
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Jul 2006
Record last updated: 31 Jul 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.