Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Amy Lanzendorf, OD

Individual provider Optometrist · NPI 1932901477

Amy Lanzendorf, OD is an Optometry in Forest Grove, Oregon. Qualified in 2025, 1 year ago. Practices with Pacific University, a 30-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
1
Licensed in
OR
In the registry since
2025
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

2043 College Way Bldg 2221
Forest Grove, OR 97116-1797
Phone: (503) 352-2020
Fax: (971) 266-2958
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 4784AT (OR)

Record details

NPI number1932901477
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedMarch 25, 2025
Last updated in NPPESJune 27, 2025
Certification dateJune 27, 2025
Mailing address2043 College Way # A-134, Forest Grove, OR 97116-1797

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Pacific University — 30 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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