Derek James Blankenship (NPI# 1215414198, PAC ID# 8022357359) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
Nation Provider ID (NPI) | 1215414198 |
PAC ID by PECOS | 8022357359 |
Professional Enrollment ID | I20190305001439 |
Full Name | Derek James Blankenship |
Organization Legal Name | VISION SOURCE PENDLETON, LLC |
Address |
1815 Sw Emigrant Ave Pendleton OR 97801-1843 |
Phone Number | 5412763653 |
Gender | M |
Graduation Year | 2018 |
Primary Specialty | OPTOMETRY |
Group Practice PAC ID | 7315932068 |
Number of Group Practice Members | 3 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
1815 Sw Emigrant Ave, Pendleton, OR 97801-1843 | 5412763653 | VISION SOURCE PENDLETON, LLC |
Organization Legal Name | VISION SOURCE PENDLETON, LLC |
Physicians | 3 |
Name | Specialty | Organization | Address |
---|---|---|---|
Michelle M Monkman | Optometry | Vision Source Pendleton, LLC | 1815 Sw Emigrant Ave, Pendleton, OR 97801-1843 |
Clayton M Briscoe | Optometry | Vision Source Pendleton, LLC | 1815 Sw Emigrant Ave, Pendleton, OR 97801-1843 |
Street Address |
1815 SW EMIGRANT AVE |
City | PENDLETON |
State | OR |
Zip | 97801-1843 |
Name | Specialty | Organization | Address |
---|---|---|---|
Michelle M Monkman | Optometry | Vision Source Pendleton, LLC | 1815 Sw Emigrant Ave, Pendleton, OR 97801-1843 |
Clayton M Briscoe | Optometry | Vision Source Pendleton, LLC | 1815 Sw Emigrant Ave, Pendleton, OR 97801-1843 |
Name | Specialty | Organization | Address |
---|---|---|---|
Renata A Anderson | Qualified Audiologist | 2237 Sw Court Ave, Pendleton, OR 97801-1896 | |
Conan S Fisher | Chiropractic | 424 Sw 6th St, Pendleton, OR 97801-2026 | |
Gary Zimmerman | Chiropractic | 409 Sw 4th St, Suite A, Pendleton, OR 97801-2069 | |
Daniel Fletcher Byrd | Podiatry | Blue Mountain Foot Specialists Inc | 714 Sw Dorion Ave, Suite 1, Pendleton, OR 97801-2086 |
Terrol D Marshall | Podiatry | Blue Mountain Foot Specialists Inc | 714 Sw Dorion Ave, Suite 1, Pendleton, OR 97801-2086 |
Debra A Obrien | Clinical Social Worker | 135 Se 1st St, Pendleton, OR 97801-2203 | |
Daniel E Eslinger | Nurse Practitioner | 125 Se 1st St, Pendleton, OR 97801-2203 | |
Stephanie C Evans | Psychologist, Clinical | 135 Se 1st St, Pendleton, OR 97801-2203 | |
Terrel L Templeman | Psychologist, Clinical | 135 Se 1st St, Pendleton, OR 97801-2203 | |
Constance B Umphred | Psychologist, Clinical | 135 Se 1st St, Pendleton, OR 97801-2203 | |
Find all physicians in zip 97801 |
City | PENDLETON |
Zip Code | 97801 |
Specialty | OPTOMETRY |
City + Specialty | PENDLETON + OPTOMETRY |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.