Individual provider · Type 1 NPI

Shannon Cathleen Lutz, OD

Optometrist · Forest Grove, OR

NPI number 1063450443 Active

Practice location

2043 College Way
Forest Grove, OR 97116-1756

Mailing address

808 Evergreen Rd
Lake Oswego, OR 97034-2955

Specialties and licenses

TaxonomyCodeLicense
Optometrist Primary 152W00000X3157T (OR)
Optometrist 152W00000X11177T (CA)

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 1063450443

Shannon Cathleen Lutz, OD's National Provider Identifier is 1063450443, issued on Jun 4, 2006. The primary taxonomy on file is Optometrist (152W00000X), and the practice location is in Forest Grove, OR. The record was last updated on Jul 13, 2026.