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Bonney Lake Optical, Inc

Optometrist in Bonney Lake, WA · enumerated 2007 · authorized official Sean Cudahy, Cfo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1154478014

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Registry record

Entity type Organization (Type 2)
Legal business name Bonney Lake Optical, Inc
Other name <Unavail>
Practice address 9801 204th Ave E, Bonney Lake, WA, 98391
Phone (253) 750-8135
Fax (253) 750-8136
Enumeration date Jan 4, 2007
Last updated in NPPES Jan 31, 2023

Taxonomy & classification

152W00000X Optometrist Eye and Vision Services Providers Primary
332B00000X Durable Medical Equipment & Medical Supplies Suppliers · License 1641 (WA) Secondary

Authorized official

Name Sean Cudahy
Title Cfo
Phone (253) 750-8135

Other identifiers

Identifier Type State Issuer
2009926 Medicaid WA -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Bonney Lake Optical, Inc located?
The practice location on file with NPPES is in Bonney Lake, WA.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2023-01-31. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-01-31.