Individual provider Active NPI

Aaron D Qunell, O.D.

  • Optometrist
  • Selah, WA
National Provider Identifier
1477558336
Registry record updated Jun 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD00003730 Issued in WA
Practice address
105 W Orchard Ave
Selah, WA 98942-1329
Phone
(509) 697-6177
Fax
(509) 697-6659
NPI assigned
Jun 16, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OD00003730 WA Primary

Addresses

Primary practice location

105 W Orchard Ave
Selah, WA 98942-1329

Mailing address

4015 W Clearwater Ave
Kennewick, WA 99336-5028
Phone (509) 783-8383

Other identifiers 5

IdentifierTypeStateIssuer
199627OtherWADEPT OF LABOR & INDUSTRIE
2031037MedicaidWA
486350620OtherWAWPS HEALTH INS-TRICARE W.
208940377OtherWAPREMERA BLUE CROSS
7808QUOtherWAREGENCE BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050808001008 WA Practitioner - Optometry 4688603863 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Center Vision and Contact Lens Clinic Inc P SGroup PAC ID 8325038789, 4 clinicians

Practice addresses (Care Compare)

8127 W Grandridge Blvd
Suite 110
Kennewick, WA 99336-7166
Phone (509) 783-8383

Merit-based Incentive Payment System (MIPS)

Final score
91.73 of 100Reported as group
Quality
83.47
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery70

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OD00003730WAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Center Vision & Contact Lens Clinic Inc P S Optometrist CurrentSince Oct 1, 2011 Accepting new patients
Selah Vision Source, PLLC Optometrist Past Accepting new patients
Mower Vision Source, PLLC Optometrist Past Accepting new patients

Locations

4015 W Clearwater Ave
Kennewick, WA 99336
Phone (509) 736-4005

8127 W Grandridge Blvd
#110
Kennewick, WA 99336
Phone (509) 279-2176

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464739200000",
    "number": "1477558336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4015 W CLEARWATER AVE",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993365028",
            "telephone_number": "509-783-8383",
            "fax_number": "509-735-2592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 W ORCHARD AVE",
            "city": "SELAH",
            "state": "WA",
            "postal_code": "989421329",
            "telephone_number": "509-697-6177",
            "fax_number": "509-697-6659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUNELL",
        "first_name": "AARON",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-16",
        "last_updated": "2016-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD00003730",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR & INDUSTRIE",
            "identifier": "199627",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2031037",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WPS HEALTH INS-TRICARE W.",
            "identifier": "486350620",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREMERA BLUE CROSS",
            "identifier": "208940377",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHIELD",
            "identifier": "7808QU",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Selah, WA

Sources for this page

Verify at the official NPI Registry.