Optometrist
KATLYN PETERSON OD
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1538768007 · enumerated 2020-10-25 · record updated 2026-08-27. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Practice location 921 SW 16TH AVE, PORTLAND, OR, 97205-1730 (503) 227-0573 Fax (503) 227-0509 Google Maps Apple Maps OpenStreetMap
- Mailing address 921 SW 16TH AVE, PORTLAND, OR, 97205-1730 (503) 227-0573 Google Maps Apple Maps OpenStreetMap
Specialties
- Optometrist 152W00000X · Primary · License ATI4633 OR
In this directory
Locations and evidence
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Practice location
PORTLAND, OR, 972051730
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.