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

Katlyn Rene Peterson, OD

Individual provider Optometrist · NPI 1538768007

Katlyn Rene Peterson, OD is an Optometry in Portland, Oregon. Graduated from University of Missouri St Louis - School of Optometry in 2020, 6 years ago. Practices with Alberta Eye Care, a 7-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
6
Trained at
University of Missouri St Louis - School of Optometry
Licensed in
OR
In the registry since
2020
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

1955 NW Northrup St
Portland, OR 97209-1614
Phone: (503) 227-2020
Fax: (503) 222-0614
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence ATI4633 (OR)

Record details

NPI number1538768007
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedOctober 25, 2020
Last updated in NPPESSeptember 6, 2022
Certification dateSeptember 6, 2022

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolUNIVERSITY OF MISSOURI ST LOUIS - SCHOOL OF OPTOMETRY
Graduated 2020 (6 years in practice)
Group practice Alberta Eye Care — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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