Baker Vision Clinic, Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1773ATI Issued in OR

Legal business name

BAKER VISION CLINIC, INC.

Practice address

2150 3Rd St
Baker City, OR 97814-2609

Phone

(541) 523-5858

Fax

(541) 523-7652

NPI assigned

Jan 26, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Sheryl K Blankenship, O.D.

Title

Co-Owner

Phone

(541) 523-5858

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OR2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare medical equipment & supply locations

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Derek James Blankenship

  • Optometrist
  • Pendleton, OR
  • NPI 1215414198
  Medicare reassignment Care Compare group NPD
• Leslie M Elms, OD

  • Optometrist
  • Baker City, OR
  • NPI 1790778231
  Medicare reassignment Care Compare group NPD
• Logan Thompson Mitchell, O.D.

  • Optometrist
  • Baker City, OR
  • NPI 1831401967
  Medicare reassignment Care Compare group NPD
• Sheryl L Blankenship, OD

  • Optometrist
  • Baker City, OR
  • NPI 1255324158
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286236800000",
    "number": "1013063676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 3RD ST",
            "city": "BAKER CITY",
            "state": "OR",
            "postal_code": "978142609",
            "telephone_number": "541-523-5858",
            "fax_number": "541-523-7652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 3RD ST",
            "city": "BAKER CITY",
            "state": "OR",
            "postal_code": "978142609",
            "telephone_number": "541-523-5858",
            "fax_number": "541-523-7652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAKER VISION CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2010-10-05",
        "status": "A",
        "authorized_official_last_name": "BLANKENSHIP",
        "authorized_official_first_name": "SHERYL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "541-523-5858",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "OR",
            "license": "1773ATI",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "150745",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Teyona Marie Baireuther
• Baker City Pharmacy LLC
• Baker Clinic, LLP
• Baker Dental Group
• Baker SD 5J
• Christopher Kennett Baker
• Shelia L Baker
• Thomas Barger
• Claire Barker
• Christina Barnes

• Optometrist in Baker City, OR
• Providers in Baker City, OR by specialty
• Optometrist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.