Provider Demographics
NPI:1538295670
Name:GABRIELLE, NEENA SHARIN (OD, FCOVD)
Entity Type:Individual
Prefix:DR
First Name:NEENA
Middle Name:SHARIN
Last Name:GABRIELLE
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Gender:F
Credentials:OD, FCOVD
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Mailing Address - Street 1:12040 98TH AVE NE
Mailing Address - Street 2:#104
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98034-4290
Mailing Address - Country:US
Mailing Address - Phone:425-820-2143
Mailing Address - Fax:425-820-2006
Practice Address - Street 1:12040 98TH AVE NE
Practice Address - Street 2:#104
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98034-4290
Practice Address - Country:US
Practice Address - Phone:425-820-2143
Practice Address - Fax:425-820-2006
Is Sole Proprietor?:No
Enumeration Date:2007-02-25
Last Update Date:2012-10-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WA3802152W00000X, 152WP0200X, 152WV0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
No152WP0200XEye and Vision Services ProvidersOptometristPediatrics
No152WV0400XEye and Vision Services ProvidersOptometristVision Therapy