TRAVIS PACK LAFAYETTE (OD) – Optometrist, NPI 1871606293

TRAVIS PACK LAFAYETTE (OD) is a healthcare provider. based in Clackamas, Oregon. specializing in Optometrist. They hold the professional credentials OD. They hold a License No. OR 2729T (OR). The NPI Number for TRAVIS PACK LAFAYETTE (OD) is 1871606293

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
TRAVIS PACK LAFAYETTE (OD)
NPI
1871606293
Phone
(503) 698-3662
Address
13865 SE 119TH DR
Enumeration Date
17 August 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Secondary Phone
8008132000
Graduation Year
1999 (27 years ago)
PAC ID
5496835720
Group Practice PAC ID
5799688230
Professional Enrollment ID
I20071228000010
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:19State licenses:2Digital endpointsOther names

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Provider Addresses for TRAVIS PACK LAFAYETTE (OD)

  • 13865, Southeast 119th Drive, Clackamas, Clackamas County, Oregon, 97015, United States

    CLACKAMAS, OR 970157607

    Phone: (503) 698-3662

    Type: Mailing

  • Southeast Stark Street, Russellville, Hazelwood, Portland, Metro, Multnomah County, Oregon, 97216, United States

    PORTLAND, OR 972335757

    Phone: (503) 669-3900

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97015)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5799688230View full group profile
NameSpecialtyState
ANDREA S HATCHETTE (MD)
U R O L O G YTX
MEGAN LEA KELLY
Emergency MedicineOR
NIRAV PATEL (MD)
D E R M A T O L O G YAZ
ASHLEY R JORDAN
Nurse PractitionerOR
ERIK WILLIAM FOSS (MD)
Diagnostic RadiologyOR
CRAIG STEPHEN HERSH (M.D.)
D E R M A T O L O G YWA
DR. CARA LEE ROZELL (D.O.)
-OR
SCOTT SWARTZ (NP)
-CA
DR. SARAH ANN MARKHAM (M.D.)
General SurgeryCA
REBECCA H. KENNEDY (MD)
-OR

Reviews

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Frequently asked questions

How do payers reference TRAVIS PACK LAFAYETTE (OD)?
For TRAVIS PACK LAFAYETTE (OD), use NPI 1871606293 as the unique 10-digit identifier.
Is TRAVIS PACK LAFAYETTE (OD) still an active registrant?
TRAVIS PACK LAFAYETTE (OD) carries an active NPI according to the public dataset.
What area of care is associated with TRAVIS PACK LAFAYETTE (OD)?
TRAVIS PACK LAFAYETTE (OD)'s record emphasizes Optometrist. Clinical services aligned with this taxonomy classification.
Where in Oregon is TRAVIS PACK LAFAYETTE (OD) registered?
Use Clackamas, Oregon as the headline location for TRAVIS PACK LAFAYETTE (OD) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.