NPI 1255324158 · live from the CMS NPI Registry
Sheryl L Blankenship, OD
Optometrist in Baker City, OR. National Provider Identifier 1255324158, active.
NPI record
| NPI | 1255324158 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 2150 3rd St, Baker City, OR 97814 |
| Practice phone | 541-523-5858 |
| Mailing address | 18481 W Campbell Loop, Baker City, OR 97814 |
| Enumerated | August 25, 2005 |
| Last updated | March 7, 2023 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | 1773AT (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.