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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

1902953581

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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
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 1640 (WA) Secondary

Authorized official

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

Other identifiers

Identifier Type State Issuer
2001360 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

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.
Where is Bonney Lake Optical, Inc located?
The practice location on file with NPPES is in Bonney Lake, WA.

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