| Derek James Blankenship, | |
|
1815 Sw Emigrant Ave, Pendleton, OR 97801-1843 | |
| (541) 519-0679 | |
| Not Available |
| Full Name | Derek James Blankenship |
|---|---|
| Gender | Male |
| Speciality | Optometry |
| Experience | 7 Years |
| Location | 1815 Sw Emigrant Ave, Pendleton, Oregon |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215414198 | NPI | - | NPPES |
| 1487786455 | Other | OR | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 4367AT (Oregon) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Baker Vision Clinic Inc | 4880682012 | 3 |
| Apple Eyecare Pc | 5799758959 | 4 |
| Provider Name | Baker Vision Clinic Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1013063676 PECOS PAC ID: 4880682012 Enrollment ID: O20040505000571 |
| Provider Name | Apple Eyecare Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1538345269 PECOS PAC ID: 5799758959 Enrollment ID: O20040816001117 |
| Mailing Address | Practice Location Address |
|---|---|
| Derek James Blankenship, 1815 Sw Emigrant Ave, Pendleton, OR 97801-1843 Ph: (541) 519-0679 | Derek James Blankenship, 1815 Sw Emigrant Ave, Pendleton, OR 97801-1843 Ph: (541) 519-0679 |
East Oregon Eye Center Optometrist Medicare: Medicare Enrolled Practice Location: 1050 Southgate Ste A, Pendleton, OR 97801 Phone: 541-276-4752 Fax: 541-278-2918 | |
Dr. Corrie Brian Lovercheck, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 225 S Main St, Pendleton, OR 97801 Phone: 541-276-8474 | |
Vision Pendleton, Llc Optometrist Medicare: Medicare Enrolled Practice Location: 1815 Sw Emigrant Ave, Pendleton, OR 97801 Phone: 541-276-3653 Fax: 541-966-4322 | |
Dr. Michelle M Monkman, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1815 Sw Emigrant Ave, Pendleton, OR 97801 Phone: 541-276-3653 Fax: 541-966-4322 | |
Eastern Oregon Family Eyecare Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1100 Southgate Ste 5, Pendleton, OR 97801 Phone: 541-969-3445 | |
James Gibson Bradt, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1100 Southgate Ste 5, Pendleton, OR 97801 Phone: 541-310-1728 |