DR. SHEENA ROLSTON (O.D) – Optometrist, NPI 1174759161

DR. SHEENA ROLSTON (O.D) is a healthcare provider. based in Bend, Oregon. specializing in OPTOMETRY. They hold the professional credentials O.D. They hold a License No. ATI3310 (OR). The NPI Number for DR. SHEENA ROLSTON (O.D) is 1174759161

Main info

Female
Sole Proprietor
17 Years Of Experience
Accepts Medicare Assignment
Name
DR. SHEENA ROLSTON (O.D)
NPI
1174759161
Phone
(541) 318-3833
Address
2450 NE MARY ROSE PL STE 110
Enumeration Date
3 June 2009
Last Update Date
7 October 2024

Doctor Profile

Medical School Name
PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Secondary Phone
5413188388
Graduation Year
2009 (17 years ago)
PAC ID
6709070758
Group Practice PAC ID
2365436755
Professional Enrollment ID
I20101103000750
Address ID
OR977017132BE2450XPLXX501
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:17State licenses:1Digital endpointsOther names

672 OPTOMETRY in OR

Provider Addresses for DR. SHEENA ROLSTON (O.D)

  • 2450 NE MARY ROSE PL STE 110

    BEND, OR 977017132

    Phone: (541) 318-3833

    Fax: (541) 389-2756

    Type: Mailing

  • 2400, Lancaster Drive Northeast, Oak Park, Salem, Marion County, Oregon, 97305, United States

    SALEM, OR 973051221

    Phone: (503) 361-5400

    Type: Location

  • 2335, Tannler Drive, Savanna Oaks, Rosemont, West Linn, Clackamas County, Oregon, 97068, United States

    WEST LINN, OR 970684164

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $45.

Total Amount is formed as General ($45) + Research ($0) + Ownership ($0) = $45.

Last reported payment date: 2024-11-21 • Largest payer in this snapshot: LKC Technologies, Inc. ($45).

Total Amount

$45

General + Research + Ownership

Payments

2

Total payment records

General Amount

$45

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-21

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
LKC Technologies, Inc.$45
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-11-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20101103000750IOptometryORTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97701)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2365436755View full group profile
NameSpecialtyState
O P T O M E T R YOR
O P T O M E T R YOR
O P H T H A L M O L O G YTX
O P H T H A L M O L O G YOR
-OR
O P T O M E T R YOR
O P H T H A L M O L O G YOR

Reviews

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Frequently asked questions

Can I use this page to confirm DR. SHEENA ROLSTON (O.D)'s NPI?
Yes. DR. SHEENA ROLSTON (O.D) is listed with NPI 1174759161 in the public NPI dataset.
Is DR. SHEENA ROLSTON (O.D) listed as active for patients and plans?
The listing shows DR. SHEENA ROLSTON (O.D) as active in the NPI system.
What is DR. SHEENA ROLSTON (O.D)'s specialty?
The listing groups DR. SHEENA ROLSTON (O.D) with Optometrist. Clinical services aligned with this taxonomy classification.
Where is DR. SHEENA ROLSTON (O.D) based?
DR. SHEENA ROLSTON (O.D) is tied to Bend, Oregon in the data we show; additional addresses may exist on the full record.
Why does DR. SHEENA ROLSTON (O.D) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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