AMY LANZENDORF OD
NPI 1932901477
Optometrist in Forest Grove, OR

Q: What is Amy Lanzendorf's NPI number?

The NPI number for Amy Lanzendorf is 1932901477. It was assigned to this individual provider in the NPPES registry on March 25, 2025.

Q: What is Amy Lanzendorf's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Q: When was this NPI record last updated?

The NPPES record for Amy Lanzendorf was last updated on June 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 25, 2025PECOS EnrolledAccepts Medicare Assignment

2043 COLLEGE WAY BLDG 2221, FOREST GROVE, OR 97116(503) 352-2020(971) 266-2958 Get Directions Write a Review

NPPES record last updated: June 27, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jun 27, 2025, Mar 25, 2025 (2 updates tracked since 2025).

On this page

About Amy Lanzendorf Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMY LANZENDORF OD (NPI 1932901477) is an individual optometrist in Forest Grove, Oregon, licensed in Oregon (4784AT) and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1932901477

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameAMY LANZENDORFCredential: OD

Location Address2043 COLLEGE WAY BLDG 2221Forest Grove, OR 97116-1797

Mailing Address2043 College Way # A-134Forest Grove, OR 97116-1797 · (503) 352-2020 · Fax (971) 266-2958

Phone(503) 352-2020

Fax(971) 266-2958

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateMarch 25, 2025

Last NPPES UpdateJune 27, 20252 updates tracked since enumeration

NPPES CertifiedJune 27, 2025

✔ NPI 1932901477 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in OR · 4784AT

Definition

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.

2043 COLLEGE WAY BLDG 2221, Forest Grove, OR 97116

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Amy Lanzendorf Od is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7618482407

PECOS Enrollment IDI20250711001511

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Amy Lanzendorf reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pacific University

0.1 mi

Optometrist

2221 PACIFIC AVE
Forest Grove, OR 97116

Reassigned Medicare billing, Oregon enrollment
51 clinicians in this Medicare group

NPI 1689782393 (503) 352-2020

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97116 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$134.16 typical visit price

range $58.99 – $176.88

Typical copayment $33.54 (range $14.74 – $44.22)

Most-billed visit code 99204

Established Patient

$73.28 typical visit price

range $19.32 – $144.79

Typical copayment $18.32 (range $4.83 – $36.19)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MATTHEW TRUONG O.D.

Optometrist

2043 COLLEGE WAY BLDG 2221
FOREST GROVE, OR 97116

Washington County (503) 352-2020

BISANT LABIB O.D.

Optometrist

2043 COLLEGE WAY BLDG 2221
FOREST GROVE, OR 97116

Washington County (503) 352-2020

REBECCA HUNG O.D.

Optometrist

2043 COLLEGE WAY BLDG 2221
FOREST GROVE, OR 97116

Washington County (503) 352-2020

CHI NGUYEN

Optometrist

2043 COLLEGE WAY BLDG 2221
FOREST GROVE, OR 97116

Washington County (503) 352-2020

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amy Lanzendorf's NPI number?

The NPI number for Amy Lanzendorf is 1932901477. It was assigned to this individual provider in the NPPES registry on March 25, 2025.

Where is Amy Lanzendorf located?

Amy Lanzendorf practices at 2043 College Way Bldg 2221, Forest Grove, OR 97116. The listed phone number is (503) 352-2020.

What is Amy Lanzendorf's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Amy Lanzendorf enrolled in Medicare?

Yes. Amy Lanzendorf is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Amy Lanzendorf's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amy Lanzendorf reassigns Medicare benefits to Pacific University (Forest Grove, OR). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Amy Lanzendorf's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Amy Lanzendorf accept?

Health plans from Moda Health Plan, Inc. list Amy Lanzendorf as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Amy Lanzendorf was last updated on June 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.