Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Derek James Blankenship

Individual provider Optometrist · NPI 1215414198

Derek James Blankenship is an Optometry in Pendleton, Oregon. Qualified in 2018, 8 years ago. Practices with Baker Vision Clinic Inc, a 3-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
8
Licensed in
OR
In the registry since
2018

Practice location Address checks out

1815 SW Emigrant Ave
Pendleton, OR 97801-1843
Phone: (541) 519-0679
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 4367AT (OR)

Record details

NPI number1215414198
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 24, 2018
Last updated in NPPESJuly 24, 2018
Mailing address1815 Sw Emigrant Ave, Pendleton, OR 97801-1843

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Baker Vision Clinic Inc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Pendleton