NPI 1013063676 · live from the CMS NPI Registry
Baker Vision Clinic, INC.
Optometrist in Baker City, OR. National Provider Identifier 1013063676, active.
NPI record
| NPI | 1013063676 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 2150 3rd St, Baker City, OR 97814 |
| Practice phone | 541-523-5858 |
| Enumerated | January 26, 2007 |
| Last updated | October 5, 2010 |
| Authorized official | Sheryl Blankenship, Co-Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | 1773ATI (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.