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SHAINA MARIE SULLIVAN
NPI 1730644790
Optometrist in Beaverton, OR

Active since February 04, 2019PECOS EnrolledAccepts Medicare Assignment
12370 SW 1ST ST, BEAVERTON, OR 97005(503) 644-3614 Get Directions Write a Review

NPPES record last updated: July 19, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 19, 2019, Feb 4, 2019 (2 updates tracked since 2019).

About Shaina Marie Sullivan NPPES

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

SHAINA MARIE SULLIVAN (NPI 1730644790) is an individual optometrist in Beaverton, Oregon, licensed in Oregon (4434ATI) and active in the NPI registry since February 2019. She is enrolled in Medicare PECOS and is a graduate of Pacific University - College Of Optometry (2019).

NPPES Registry Identity

NPI1730644790
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameSHAINA MARIE SULLIVAN
Location Address12370 SW 1ST STBeaverton, OR 97005-2847
Mailing Address10095 Nw Curtis StNorth Plains, OR 97133-8201 · (971) 227-3630
Phone(503) 644-3614
Sole ProprietorYes
Medical School CMSPacific University - College Of OptometryGraduated 2019
Enumeration DateFebruary 4, 2019
Last NPPES UpdateJuly 19, 20192 updates tracked since enumeration
✔ NPI 1730644790 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 · 4434ATI
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.
12370 SW 1ST ST, Beaverton, OR 97005
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shaina Marie Sullivan 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 ID3678808003
PECOS Enrollment IDI20190708002192
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
29 services29 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
20 services18 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
20 services13 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97005 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.

DR. CHALRES ALBERT MCBRIDE OD
Optometrist
12370 SW 1ST ST
BEAVERTON, OR 97005
Washington County (503) 644-3614
DAVID R. MCBRIDE, OD
Optometrist
12370 SW 1ST ST
BEAVERTON, OR 97005
Washington County (503) 644-3614
CHARLES ALBERT MCBRIDE
Optometrist
12370 SW 1ST ST
BEAVERTON, OR 97005
Washington County (503) 644-3614
DR. EZRA ATIKUNE O.D.
Optometrist
12370 SW 1ST ST
BEAVERTON, OR 97005
Washington County (503) 644-3614

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 Shaina Sullivan's NPI number?

The NPI number for Shaina Sullivan is 1730644790. It was assigned to this individual provider in the NPPES registry on February 4, 2019.

Where is Shaina Sullivan located?

Shaina Sullivan practices at 12370 SW 1st St, Beaverton, OR 97005. The listed phone number is (503) 644-3614.

What is Shaina Sullivan's specialty?

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

Is Shaina Sullivan enrolled in Medicare?

Yes. Shaina Sullivan 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.

What insurance does Shaina Sullivan accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Shaina Sullivan 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 Shaina Sullivan was last updated on July 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.