Sheryl L Blankenship, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

1773AT Issued in OR

Practice address

2150 3Rd St
Baker City, OR 97814-2609

Phone

(541) 523-5858

Fax

(541) 523-7652

NPI assigned

Aug 25, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Baker Vision Clinic, Inc.

  • Optometrist
  • Baker City, OR
  • NPI 1013063676
  Medicare reassignment NPD

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

{
    "created_epoch": "1124928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1255324158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18481 W CAMPBELL LOOP",
            "city": "BAKER CITY",
            "state": "OR",
            "postal_code": "978148412",
            "telephone_number": "541-523-9358"
        },
        {
            "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": {
        "last_name": "BLANKENSHIP",
        "first_name": "SHERYL",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-25",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "1773AT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "144436",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarrah Delores Berg
• Jay D Berryman
• Nicole Ray Billman, PMHNP
• Justin S Bingham, DMD
• Jennifer L Blair
• Skylar Jade Blankenship
• Tammie R. Blessing, LCSW
• Blue Libelula Inc
• Britni Kay Bobo
• Brian James Boerma, M.A

• 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 Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.