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

Shaina Marie Sullivan

Individual provider Optometrist · NPI 1730644790

Shaina Marie Sullivan is an Optometry in Beaverton, Oregon. Graduated from Pacific University - College of Optometry in 2019, 7 years ago. Practices with Coos Eye Centers Inc, a 4-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
7
Trained at
Pacific University - College of Optometry
Licensed in
OR
In the registry since
2019
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Practice location Address checks out

12370 SW 1st St
Beaverton, OR 97005-2847
Phone: (503) 644-3614
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 4434ATI (OR)

Record details

NPI number1730644790
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 4, 2019
Last updated in NPPESJuly 19, 2019
Mailing address10095 Nw Curtis St, North Plains, OR 97133-8201

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolPACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Graduated 2019 (7 years in practice)
Group practice Coos Eye Centers Inc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Beaverton