Dr Sheryl L Blankenship, OD | |
2150 3rd St, Baker City, OR 97814-2609 | |
(541) 523-5858 | |
(541) 523-7652 |
Full Name | Dr Sheryl L Blankenship |
---|---|
Gender | Female |
Speciality | Optometrist |
Location | 2150 3rd St, Baker City, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255324158 | NPI | - | NPPES |
144436 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 1773AT (Oregon) | Primary |
Provider Name | Baker Vision Clinic Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1013063676 PECOS PAC ID: 4880682012 Enrollment ID: O20040505000571 |
Mailing Address | Practice Location Address |
---|---|
Dr Sheryl L Blankenship, OD 18481 W Campbell Loop, Baker City, OR 97814-8412 Ph: (541) 523-9358 | Dr Sheryl L Blankenship, OD 2150 3rd St, Baker City, OR 97814-2609 Ph: (541) 523-5858 |
Baker Vision Clinic, Inc. 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 |