Katlyn Rene Peterson is a Portland, Oregon based female Optometrist with 4 years of experience in Optometry. She completed her graduation from University Of Missouri St Louis - School Of Optometry in 2020. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Katlyn Rene Peterson is ATI4633 for Optometry in Oregon. Katlyn Rene Peterson 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. She completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. She is a eye health care professional who is state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Complete Profile:
Katlyn Rene Peterson speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Optometry
Credentials:
OD
Experience:
4+ years
Medical School Attended:
University Of Missouri St Louis - School Of Optometry
Graduation Year:
2020
Gender:
Female
Accepts Medicare Assignment:
Yes
Practice Address:
1955 Nw Northrup St, Portland, Oregon, 97209-1614
Phone:
503-227-2020
Fax:
503-222-0614
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
5193138329
Enrollment ID:
I20220621001784
NPI Number:
1538768007
NPI Enumeration Date:
25 Oct, 2020
NPI Last Update On:
06 Sep, 2022
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Katlyn Rene Peterson are as mentioned below.
License Number
Specialization
State
Status
ATI4633
Optometry
Oregon
Primary
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Katlyn Rene Peterson has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Eye Health Northwest Pc (9234039926)
64
Other Medical Identifiers:
Other legacy medical identifiers associated with Katlyn Rene Peterson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
500807355
Medicaid
Oregon
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Po Box 22009, Portland, Oregon
Zip:
97269-2009
Phone Number:
503-558-7372
Fax Number:
503-344-5140
Patients can reach Katlyn Rene Peterson at 1955 Nw Northrup St, Portland, Oregon or can call to book an appointment on 503-227-2020. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.