Provider Demographics
NPI:1477558336
Name:QUNELL, AARON D (OD)
Entity Type:Individual
Prefix:DR
First Name:AARON
Middle Name:D
Last Name:QUNELL
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:4015 W CLEARWATER AVE
Mailing Address - Street 2:
Mailing Address - City:KENNEWICK
Mailing Address - State:WA
Mailing Address - Zip Code:99336-5028
Mailing Address - Country:US
Mailing Address - Phone:509-783-8383
Mailing Address - Fax:509-735-2592
Practice Address - Street 1:105 W ORCHARD AVE
Practice Address - Street 2:
Practice Address - City:SELAH
Practice Address - State:WA
Practice Address - Zip Code:98942-1329
Practice Address - Country:US
Practice Address - Phone:509-697-6177
Practice Address - Fax:509-697-6659
Is Sole Proprietor?:No
Enumeration Date:2005-06-16
Last Update Date:2016-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOD00003730152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA199627OtherDEPT OF LABOR & INDUSTRIE
WA2031037Medicaid
WA486350620OtherWPS HEALTH INS-TRICARE W.
WA208940377OtherPREMERA BLUE CROSS
WA7808QUOtherREGENCE BLUE SHIELD
WA208940377OtherPREMERA BLUE CROSS