Active NPI
Sheena Rolston, O.D
- Optometrist
- Bend, OR
National Provider Identifier
1174759161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- ATI3310
- Practice address
- 2450 NE Mary Rose PL Ste 110
Bend, OR 97701-7132 - Phone
- (541) 318-3833
- Fax
- (541) 389-2756
- NPI assigned
- Jun 3, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | ATI3310 | OR | Primary |
Addresses
Primary practice location
2450 NE Mary Rose PL Ste 110
Bend, OR 97701-7132
Mailing address
2450 NE Mary Rose PL Ste 110
Bend, OR 97701-7132
Phone (541) 318-3833
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Pacific University - College of Optometry, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2450 NE Mary Rose PL
Suite 110
Bend, OR 97701-7132
Phone (541) 318-8388
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ATI3310 | OR | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Infocus Eye Care LLC | Optometrist | Current | Accepting new patients |
Locations
2450 NE Mary Rose Pl
Ste 110
Bend, OR 97701
Phone (541) 318-8388
Interoperability endpoints
- srolston@directaddress.net
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728259200000",
"number": "1174759161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2450 NE MARY ROSE PL STE 110",
"city": "BEND",
"state": "OR",
"postal_code": "977017132",
"telephone_number": "541-318-3833",
"fax_number": "541-389-2756"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2450 NE MARY ROSE PL STE 110",
"city": "BEND",
"state": "OR",
"postal_code": "977017132",
"telephone_number": "541-318-3833",
"fax_number": "541-389-2756"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROLSTON",
"first_name": "SHEENA",
"name_prefix": "Dr.",
"credential": "O.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-06-03",
"last_updated": "2024-10-07",
"certification_date": "2024-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "OR",
"license": "ATI3310",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bend, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.