Amy Lanzendorf, OD
NPI 1932901477ActiveIndividual· Optometrist· Forest Grove, OR
Optometrist (OD) with Pacific University, practicing in Forest Grove, Oregon. Enrolled in Medicare as practitioner - optometry.
Overview
| NPI | 1932901477 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | OD |
| Sole proprietor | No |
| NPI issued | Mar 25, 2025 |
| Last updated in NPPES | Jun 27, 2025 |
| Certified by provider | Jun 27, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 4784AT | OR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Optometry (OR) |
|---|
Education and affiliations
| Graduation year | 2025 |
|---|---|
| Medicare specialty | Optometry |
Medical group
- Pacific UniversityForest Grove, OR · 32 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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