DR. SHANNON CATHLEEN LUTZ (NPI# 1063450443) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063450443 |
| Entity Type | Individual |
| Full Name | DR. SHANNON CATHLEEN LUTZ |
| Credential | O.D. |
| Practice Address |
2043 College Way Forest Grove OR 97116-1756 |
| Mailing Address |
808 Evergreen Rd Lake Oswego OR 97034-2955 |
| Practice Telephone | 5033522208 |
| Mailing Telephone | 5037440599 |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | 11177T | CA | Eye and Vision Services Providers |
| Y | 152W00000X | Optometrist | 3157T | OR | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104898998 | Shannon Marie Lutz | Physical Therapist | 3704 Raguet St, Nacogdoches, TX 75965-2510 | 2006-02-06 |
| 1275043705 | Shannon Kirby Lutz | Physician Assistant | 2360 Maryland Rd, Willow Grove, PA 19090 | 2017-10-11 |
| 1891931895 | Shannon Rae Lutz | Social Worker | 101 N Beecher St, Bessemer, MI 49911-1109 | 2008-12-21 |
| 1316043128 | Shannon Courtney Lutz | Psychologist | 1515 Mockingbird Ln, Suite 515, Charlotte, NC 28209-3236 | 2006-09-16 |
| Street Address |
2043 COLLEGE WAY |
| City | FOREST GROVE |
| State | OR |
| Zip Code | 97116-1756 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962492595 | Kenneth Warren Eakland | Optometrist | 2043 College Way, Forest Grove, OR 97116-1756 | 2005-10-25 |
| 1972102796 | Jonathan T Bloemers | Optometrist | 2043 College Way, Forest Grove, OR 97116-1756 | 2020-10-22 |
| 1457979080 | Maud Darger | Student in an Organized Health Care Education/Training Program | 2043 College Way, Forest Grove, OR 97116-1797 | 2020-07-09 |
| 1881226249 | Caitlin Odonnell | Specialist/Technologist | 2043 College Way, Forest Grove, OR 97116-1756 | 2020-02-04 |
| 1386292852 | Pacific University | Optometrist | 2043 College Way, Forest Grove, OR 97116-1797 | 2019-08-28 |
| 1447813563 | Mari Jalene Fujimoto | Optometrist | 2043 College Way, Forest Grove, OR 97116-1756 | 2019-04-15 |
| 1043776024 | Abigail Carpenter | Specialist/Technologist | 2043 College Way, Forest Grove, OR 97116-1756 | 2019-02-14 |
| 1194294108 | Julia Le Lieu | Student in an Organized Health Care Education/Training Program | 2043 College Way, Forest Grove, OR 97116-1797 | 2018-11-19 |
| 1083192488 | Rachael Leeann Wilson | Physician Assistant | 2043 College Way, Forest Grove, OR 97116-1756 | 2018-07-30 |
| 1154807295 | Sarah Rothley Lucas | Optometrist | 2043 College Way, Forest Grove, OR 97116-1756 | 2018-07-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780220988 | Jenny Park | Social Worker | 2023 Hawthorne Street, Building C, Forest Grove, OR 97116 | 2019-11-22 |
| 1447742077 | Kimberly K Sabin | Doula | 1239 Goff Rd, Forest Grove, OR 97116 | 2018-05-30 |
| 1891205266 | Sonam Narayan | Optometrist | 2221 Pacific Avenue, Forest Grove, OR 97116 | 2017-10-11 |
| 1013260181 | Sharon Louise Benjamin | Nurse Practitioner | 2724 Harvest Ct, Forest Grove, OR 97116 | 2012-10-25 |
| 1336445535 | Shane Michael Peterson | Physical Therapist | 3300 19th Avenue, Forest Grove, OR 97116 | 2011-02-04 |
| 1023324415 | Kara Marie Cooper | Registered Nurse | 2221 Oak St, Forest Grove, OR 97116 | 2010-08-24 |
| 1811229792 | Rachel Lucinda Erin Dilly | Speech-Language Pathologist | 3300 19th Ave., Forest Grove, OR 97116 | 2010-02-03 |
| 1720286339 | Thuymai Anna Fee | Physical Therapist | Custom Care Physical Therapy, 4150 Pacific Ave. #100, Forest Grove, OR 97116 | 2007-07-05 |
| 1629102454 | Lois Elizabeth Yevdalcia Dimick | Massage Therapist | 2004 Main St, Suite 204, Forest Grove, OR 97116 | 2007-03-15 |
| 1023159936 | Ninette Kay Foster | Contractor | 2329 Pacific Ave., Forest Grove, OR 97116 | 2007-02-12 |
| Find all providers in zip 97116 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists 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. An optometrist has 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. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629698642 | Prashna Mistry | Optometrist | College of Optometry, 2043 College Way, Forest Grove, OR 97116-1797 | 2020-04-20 |
| 1689200156 | Alyssa Erin Invergo | Optometrist | College of Optometry 2043 College Way, Forest Grove, OR 97116-9711 | 2020-03-17 |
| 1891205266 | Sonam Narayan | Optometrist | 2221 Pacific Avenue, Forest Grove, OR 97116 | 2017-10-11 |
| 1093067324 | Timothy Allen Speck | Optometrist | 2144 Hawthorne St, Apt 56, Forest Grove, OR 97116-1749 | 2012-10-10 |
| 1265784508 | Charles Srisatayasunton | Optometrist | 2239 Hawthorne St Apt 14, Forest Grove, OR 97116-2900 | 2012-10-10 |
| 1942432950 | Richard Trent Cluny | Optometrist | 2830 Charlie Ct, Forest Grove, OR 97116-2954 | 2009-08-10 |
| 1801021084 | Christopher Keith Rowland | Optometrist | 1146 32nd Pl, Forest Grove, OR 97116-2678 | 2009-05-18 |
| 1629028816 | Sarah Elizabeth Fox-hocking | Optometrist | 1204 Filbert St, Forest Grove, OR 97116-3024 | 2006-05-11 |
| 1962492595 | Kenneth Warren Eakland | Optometrist | 2043 College Way, Forest Grove, OR 97116-1756 | 2005-10-25 |
| 1922009836 | Brad C Richardson | Optometrist | 2804 19th Ave, Forest Grove, OR 97116-2625 | 2005-08-02 |
| Find all providers in FOREST GROVE | ||||
| City | FOREST GROVE |
| Zip Code | 97116 |
Please comment or provide details below to improve the information on DR. SHANNON CATHLEEN LUTZ.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.