Individual provider · Type 1 NPI

Katlyn Rene Peterson, OD

Optometrist · Portland, OR

NPI number 1538768007 Active

Practice location

921 SW 16th Ave
Portland, OR 97205-1730

Fax (503) 227-0509

Specialties and licenses

TaxonomyCodeLicense
Optometrist Primary 152W00000XATI4633 (OR)

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 1538768007

Katlyn Rene Peterson, OD's National Provider Identifier is 1538768007, issued on Oct 25, 2020. The primary taxonomy on file is Optometrist (152W00000X), and the practice location is in Portland, OR. The record was last updated on Aug 27, 2026.