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Active NPI 1487786455 Organization (Entity Type 2)

Vision Pendleton Llc

Optometrist • Pendleton, OR

About Vision Pendleton Llc NPI 1487786455 Summary

Vision Pendleton Llc is a verified healthcare organization specializing in Optometrist operating in Pendleton, OR. Located at 1815 SW EMIGRANT AVE, this facility provides patient care and medical services under National Provider Identifier (NPI) 1487786455.

Administrative operations and authorized compliance are overseen by Peter Anderton (President).

The facility is associated with 4 linked healthcare practitioners providing clinical services.

Facility Location & Contact Primary Location

Facility Address

1815 Sw Emigrant Ave

Pendleton, OR 978011843

Telephone 5412763653
Fax 5419664322

Authorized Official Information

Authorized Contact Name

Peter Anderton

Title / Role

President

Official Telephone

5412763653

Facility Classifications & Specialties

Optometrist Primary Taxonomy

NUCC Taxonomy Code: 152W00000X

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Optometrist

NUCC Taxonomy Code: 152W00000X

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Affiliated Practitioners & Clinicians

Healthcare professionals and specialists practicing at this facility or affiliated group locations

4 Linked
Derek Blankenship NPI 1215414198

Optometrist

Pendleton, OR

View Practitioner Profile →

Optometrist

Pendleton, OR

View Practitioner Profile →

Optometrist

Pendleton, OR

View Practitioner Profile →

Optometrist

Pendleton, OR

View Practitioner Profile →

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

10 Historical Events
🏛️
Organization / Clinic Name Updated July 03, 2026

Operating as VISION PENDLETON LLC

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 03, 2026

Optometrist (License #2399ATI in OR)

🏛️
Organization / Clinic Name Updated September 29, 2020

Operating as VISION PENDLETON, LLC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 29, 2020

Optometrist (License #2456ATI in OR)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 1815 SW EMIGRANT AVE, PENDLETON, OR 978011843 (Tel: 5412763653)

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Updated Business Mailing Address July 08, 2007

Registered at 1815 SW EMIGRANT AVE, PENDLETON, OR 978011843 (Tel: 5412763653)

🏛️
Organization / Clinic Name Updated July 08, 2007

Operating as VISION SOURCE PENDLETON, LLC

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Optometrist (License #2399ATI in OR)

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Initial NPI Registration & Enumeration March 12, 2007

First registered as active Healthcare Organization in NPPES Database.

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NPI Organization Metadata

NPI Number: 1487786455
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: March 12, 2007
Last Update: July 03, 2026

Mailing Address

1815 Sw Emigrant Ave

Pendleton, OR 978011843

Phone: 5412763653

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.
⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.