NPI 1063450443

Shannon Cathleen Lutz, OD

Practitioner Optometrist Forest Grove, OR

Practice location

Address: 2043 College Way, Forest Grove, OR 97116-1756
Phone: (503) 352-2208
Mailing address: 808 Evergreen Rd, Lake Oswego, OR 97034-2955

Registered specialties (2)

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 3157T (OR)

Other Optometrist providers in Oregon →

Optometrist

Eye and Vision Services Providers Taxonomy 152W00000X Licence 11177T (CA)

Registry record

NPI: 1063450443
Entity type: Individual
Sex (as registered): Female
NPI issued: 4 Jun 2006
Record last updated: 13 Jul 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.