Organization
BAKER VISION CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHERYL K BLANKENSHIP O.D. (CO-OWNER)
(541) 523-5858
Entity
Organization
Contact information
Practice address
2150 3RD ST, BAKER CITY, OR 97814-2609
(541) 523-5858
(541) 523-7652
Mailing address
2150 3RD ST, BAKER CITY, OR 97814-2609
(541) 523-5858
(541) 523-7652
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1773ATI
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150745
—
OR
Enumeration date
01/26/2007
Last updated
10/05/2010
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