Shannon E Gatrell, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OD00004060 Issued in WA

Practice address

2811 W 10TH Ave Ste C
Kennewick, WA 99336-4672

Phone

(509) 734-2511

Fax

(509) 734-1632

NPI assigned

Jul 22, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720009905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "269 ROCKWOOD DR",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993528535",
            "telephone_number": "503-866-0280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2811 W 10TH AVE STE C",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993364672",
            "telephone_number": "509-734-2511",
            "fax_number": "509-734-1632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GATRELL",
        "first_name": "SHANNON",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD00004060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bonnie L Garza
• Cecilia Denise Garza, LICSW
• Maurilio C. Garza, LMHC
• Meegan V Garza, RN
• Tammy A Garza, LMT
• Deleon Gause, BA
• Gwendolyn G Gavino, MD
• Ma Hazel Lyn Gutierrez Gavino, MD
• Roman R Gavino, MD
• Susan Gazewood

• Optometrist in Kennewick, WA
• Providers in Kennewick, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.