Baker Vision Clinic, Inc. | |
2150 3rd St, Baker City, OR 97814-2609 | |
(541) 523-5858 | |
(541) 523-7652 |
Full Name | Baker Vision Clinic, Inc. |
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Type | Facility |
Speciality | Optometrist |
Location | 2150 3rd St, Baker City, Oregon |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013063676 | NPI | - | NPPES |
150745 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 1773ATI (Oregon) | Primary |
Provider Name | Logan T Mitchell |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1831401967 PECOS PAC ID: 0547452864 Enrollment ID: I20101005000973 |
Provider Name | Sheryl Blankenship |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1255324158 PECOS PAC ID: 5092824300 Enrollment ID: I20110201000955 |
Provider Name | Leslie M Elms |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1790778231 PECOS PAC ID: 6305055617 Enrollment ID: I20110222001199 |
Provider Name | Derek James Blankenship |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1215414198 PECOS PAC ID: 8022357359 Enrollment ID: I20190305001439 |
Mailing Address | Practice Location Address |
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Baker Vision Clinic, Inc. 2150 3rd St, Baker City, OR 97814-2609 Ph: (541) 523-5858 | Baker Vision Clinic, Inc. 2150 3rd St, Baker City, OR 97814-2609 Ph: (541) 523-5858 |
Dr. Sheryl L Blankenship, OD Optometrist Medicare: Medicare Enrolled Practice Location: 2150 3rd St, Baker City, OR 97814 Phone: 541-523-5858 Fax: 541-523-7652 | |
Dr. Leslie M Elms, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2150 3rd St, Baker City, OR 97814 Phone: 541-523-5858 Fax: 541-523-7652 | |
Logan Thompson Mitchell, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2150 3rd St, Baker City, OR 97814 Phone: 541-523-5858 Fax: 541-523-7652 |