Bonney Lake Optical, Inc
Optometrist
9801 204th Ave E, Bonney Lake
Washington, 98391-6559
253-750-8135 253-750-8136
Bonney Lake Optical, Inc is a Optometrist in Bonney Lake, Washington. It is located at 9801 204th Ave E, Bonney Lake and it's customer support contact number is 253-750-8135. The authorized person of Bonney Lake Optical, Inc is Sean Cudahy, OD who is Cfo of this DME and his contact number is 253-750-8135. Bonney Lake Optical, Inc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Bonney Lake Optical, Inc is doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
DME Supplier Details:
Bonney Lake Optical, Inc type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Bonney Lake Optical, Inc |
| Type: | Optometrist |
| Location: | 9801 204th Ave E, Bonney Lake,
Washington, 98391-6559 |
| Phone: | 253-750-8135 |
| Fax: | 253-750-8136 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Sean Cudahy |
| Credentials: | OD |
| Position: | Cfo |
| Contact Number: | 253-750-8135 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1154478014 |
| NPI Enumeration Date: | 04 Jan, 2007 |
| NPI Last Update On: | 31 Jan, 2023 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Bonney Lake Optical, Inc are as mentioned below.
| Specialization | License Number | State | Status | |
| Optometrist | | | Primary | |
| Durable Medical Equipment & Medical Supplies | 1641 | Washington | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of this supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 2009926 | Medicaid | Washington | |
Medicare Enrollment:
Bonney Lake Optical, Inc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 3971492547 | O20040311001389 | Bonney Lake Optical Inc | PART B SUPPLIER - CLINIC/GROUP PRACTICE |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 9801 204th Ave E,
Bonney Lake, Washington |
| Zip: | 98391-6559 |
| Phone Number: | 537-508-1352 |
| Fax Number: | 253-750-8136 |
Patients can reach Bonney Lake Optical, Inc at
9801 204th Ave E, Bonney Lake, Washington or can
call on customer care at 253-750-8135.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 February, 2026.