Provider Demographics
NPI:1649687443
Name:SHEU, EMMELINE (OD)
Entity type:Individual
Prefix:
First Name:EMMELINE
Middle Name:
Last Name:SHEU
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:579 PLEASANT BAY RD
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98229-8918
Mailing Address - Country:US
Mailing Address - Phone:713-401-7831
Mailing Address - Fax:
Practice Address - Street 1:1616 N 18TH ST STE 104
Practice Address - Street 2:
Practice Address - City:MOUNT VERNON
Practice Address - State:WA
Practice Address - Zip Code:98273-2600
Practice Address - Country:US
Practice Address - Phone:360-424-4181
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-14
Last Update Date:2019-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8430T152W00000X
WAOD60660403152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist