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

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