Todd Michael Sheldon, OD MBA FAAO

Primary specialty

OptometristTaxonomy code 152W00000X

License

2823T Issued in OR

Practice address

1000 SW Indian Avenue
Redmond, OR 97756

Phone

(541) 548-2488

Fax

(541) 548-5334

NPI assigned

Jul 9, 2006

Last updated

Jul 1, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 5

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Business Administration

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tsheldon7552@centraloregoneyecare.emadirect.md

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Central Oregon Eyecare, PC

  • Optometrist
  • Sisters, OR
  • NPI 1053684597
  NPD Authorized official
• Central Oregon Eyecare, PC

  • Optometrist
  • Redmond, OR
  • NPI 1073715157
  Medicare reassignment
• Lake Oswego Vision Clinic LLC

  dba Lake Oswego Vision Clinic

  • Optometrist
  • Lake Oswego, OR
  • NPI 1750506937
  NPD (past) Authorized official
• Personaleyes, LLC

  dba Willow Creek Eye Care

  • Medical Specialty Clinic/Center
  • Portland, OR
  • NPI 1689189151
  NPD (past) Authorized official
• Vision Accent Inc.

  dba Artisan Eyeworks

  • Optometrist
  • Ashland, OR
  • NPI 1265004014
  Authorized official Same address or phone
• Vision Accent Inc.

  dba Indian Creek Family Eye Care

  • Optometrist
  • Hood River, OR
  • NPI 1326641713
  Authorized official Same address or phone
• Vision Accent Inc.

  dba Accent Eyewear

  • Optometrist
  • Hillsboro, OR
  • NPI 1356383939
  Authorized official Same address or phone
• West Linn Vision Center Inc

  • Optometrist
  • West Linn, OR
  • NPI 1043769227
  Authorized official Same address or phone
• Personaleyes, Inc

  dba Luxton Optical

  • Optometrist
  • Greenbrae, CA
  • NPI 1366082398
  Authorized official Same address or phone
• Central Oregon Eyecare, PC

  • Optometrist
  • Bend, OR
  • NPI 1912389511
  NPD
• Willow Creek Eye Care Inc.

  • Corneal and Contact Management Optometrist
  • Portland, OR
  • NPI 1598000903
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625097600000",
    "number": "1417980541",
    "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": "1000 SW INDIAN AVENUE",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "97756",
            "telephone_number": "541-548-2488",
            "fax_number": "541-548-5334"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "198 NE Combs Flat Rd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Prineville",
            "state": "OR",
            "postal_code": "977542563",
            "country_code": "US",
            "telephone_number": "541-447-5133",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14740 NW Cornell Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972295400",
            "country_code": "US",
            "telephone_number": "503-645-8002",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2155 NW Shevlin Park Rd",
            "address_purpose": "LOCATION",
            "city": "Bend",
            "state": "OR",
            "postal_code": "977037101",
            "country_code": "US",
            "telephone_number": "541-647-2760",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "625 N Arrowleaf Trl Ste 103",
            "address_purpose": "LOCATION",
            "city": "Sisters",
            "state": "OR",
            "postal_code": "977592610",
            "country_code": "US",
            "telephone_number": "541-549-2105",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "65 NE Oak St Ste 110",
            "address_purpose": "LOCATION",
            "city": "Madras",
            "state": "OR",
            "postal_code": "977411814",
            "country_code": "US",
            "telephone_number": "541-475-9999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHELDON",
        "first_name": "TODD",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "OD MBA FAAO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-09",
        "last_updated": "2021-07-01",
        "certification_date": "2021-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "2823T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "831397001",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "TSheldon7552@centraloregoneyecare.emadirect.md",
            "affiliation": "N",
            "address_1": "198 NE Combs Flat Rd Ste 120",
            "city": "Prineville",
            "state": "OR",
            "country_code": "US",
            "postal_code": "977542563",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "TSheldon7552@centraloregoneyecare.emadirect.md",
            "affiliation": "Y",
            "affiliationName": "Central Oregon Eyecare, PC",
            "address_1": "1000 SW Indian Avenue",
            "city": "Redmond",
            "state": "OR",
            "country_code": "US",
            "postal_code": "97756",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "TSheldon7552@centraloregoneyecare.emadirect.md",
            "affiliation": "N",
            "address_1": "65 NE Oak St Ste 110",
            "city": "Madras",
            "state": "OR",
            "country_code": "US",
            "postal_code": "977411814",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "TSheldon7552@centraloregoneyecare.emadirect.md",
            "affiliation": "N",
            "address_1": "625 N Arrowleaf Trl Ste 103",
            "city": "Sisters",
            "state": "OR",
            "country_code": "US",
            "postal_code": "977592610",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "TSheldon7552@centraloregoneyecare.emadirect.md",
            "affiliation": "N",
            "address_1": "2155 NW Shevlin Park Rd",
            "city": "Bend",
            "state": "OR",
            "country_code": "US",
            "postal_code": "977037101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lori Kay-Catterall Shannon, DO
• Carrie Elizabeth Shaver, L.M.T., NCTM
• Kyle John Shaver, MD
• Dan Sheahan
• Mary Kathleen Sheets, DPT
• Dena Louise Shelton, CADC-R
• Courtenay Rae Sherwood, RN
• Breana Lynn Shields
• Elizabeth Rose Shih, M.D.
• Shine Bright Counseling and Consulting LLC

• Optometrist in Redmond, OR
• Providers in Redmond, OR by specialty
• Optometrist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.