Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Travis Pack Lafayette, OD

Individual provider Optometrist · NPI 1871606293

Travis Pack Lafayette, OD is an Optometrist in Portland, Oregon. Licensed in Oregon and Washington. Registered with an NPI since 2006.

Licensed in
OR, WA
In the registry since
2006
Specialties on file
2
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

19500 SE Stark St
Portland, OR 97233-5757
Phone: (503) 669-3900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence OR 2729T (OR)
Optometrist Taxonomy 152W00000X · Licence WA OD00003720 (WA)

Record details

NPI number1871606293
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedAugust 17, 2006
Last updated in NPPESJuly 8, 2007
Mailing address13865 Se 119th Dr, Clackamas, OR 97015-7607

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