| 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 | 
|---|---|
| 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 |