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
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

12370 SW 1st St
Beaverton, OR 97005-2847
Phone: (503) 644-3614
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

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