Active NPI
Aaron D Qunell, O.D.
- Optometrist
- Selah, WA
National Provider Identifier
1477558336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OD00003730
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 199627 | Other | WA | DEPT OF LABOR & INDUSTRIE |
| 2031037 | Medicaid | WA | |
| 486350620 | Other | WA | WPS HEALTH INS-TRICARE W. |
| 208940377 | Other | WA | PREMERA BLUE CROSS |
| 7808QU | Other | WA | REGENCE 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
Enrollment records 1
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
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 100
- Quality
- 83.47
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 70 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OD00003730 | WA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center Vision & Contact Lens Clinic Inc P S | Optometrist | Current | 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.
-
- Optometrist
- Kennewick, WA
- NPI 1730132085
-
- Optometrist
- Selah, WA
- NPI 1033517149
-
- Optometrist
- Selah, WA
- NPI 1487787511
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.