Active NPI
Central Oregon Eyecare, PC
- Optometrist
- Sisters, OR
National Provider Identifier
1053684597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2823ATI
- Legal business name
- CENTRAL OREGON EYECARE, PC
- Practice address
- 625 N Arrowleaf Trail
Ste 103
Sisters, OR 97759 - Phone
- (541) 549-2105
- Fax
- (541) 549-2106
- NPI assigned
- Feb 14, 2012
- Organization subpart
- Yes
- Parent organization
- CENTRAL OREGON EYECARE, PC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Todd Michael Sheldon, OD
- Title
- President
- Phone
- (541) 548-2488
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2823ATI | OR | Primary |
Addresses
Primary practice location
625 N Arrowleaf Trail
Ste 103
Sisters, OR 97759
Mailing address
1000 SW Indian Avenue
Redmond, OR 97756
Phone (541) 548-2488
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040302000211 | OR | Part B Supplier - Clinic/Group Practice | 8426945783 |
Receives reassigned benefits from 13 practitioners 4 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Bend, OR; Madras, OR; Prineville, OR; Redmond, OR; Sisters, OR |
Other NPIs on the same Medicare enrollment 4
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Part of
- Central Oregon Eyecare PC
Locations
625 N Arrowleaf Trl
Ste 103
Sisters, OR 97759
Phone (541) 549-2105
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Redmond, OR
- NPI 1417980541
-
- Optometrist
- Prineville, OR
- NPI 1285523753
-
- Optometrist
- Beaverton, OR
- NPI 1003475625
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329177600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1441843200000",
"number": "1053684597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 SW INDIAN AVENUE",
"city": "REDMOND",
"state": "OR",
"postal_code": "97756",
"telephone_number": "541-548-2488",
"fax_number": "541-548-5334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "625 N ARROWLEAF TRAIL",
"address_2": "STE 103",
"city": "SISTERS",
"state": "OR",
"postal_code": "97759",
"telephone_number": "541-549-2105",
"fax_number": "541-549-2106"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTRAL OREGON EYECARE, PC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CENTRAL OREGON EYECARE, PC",
"enumeration_date": "2012-02-14",
"last_updated": "2015-09-10",
"status": "A",
"authorized_official_last_name": "SHELDON",
"authorized_official_first_name": "TODD",
"authorized_official_middle_name": "MICHAEL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "541-548-2488",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "OR",
"license": "2823ATI",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sisters, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.