Bonney Lake Optical, Inc
NPI 1154478014 · Optometrist · Bonney Lake, WA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Bonney Lake Optical, Inc is a Optometrist organization in Bonney Lake, WA (NPI 1154478014).
Provider details
- NPI number
- 1154478014
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Sean Cudahy, Cfo(253) 750-8135
- License
- 1641 (WA)
Specialties & taxonomies
Eye and Vision Services Providers
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
8 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Emerald Eye Care
Additional practice locations (7)
- 48 College RdFairbanks, AK 99701-1706Phone: (907) 600-0189Fax: (253) 349-2809
- 2290 King Ave WBillings, MT 59102-7415Phone: (406) 306-9245Fax: (406) 290-6795
- 1160 N 1000 WLogan, UT 84321-6846Phone: (435) 534-0013Fax: (435) 534-0012
- 301 5th StClarkston, WA 99403-1860Phone: (509) 800-4426Fax: (509) 516-0006
- 1801 10th Ave NwIssaquah, WA 98027-5384Phone: (425) 369-6726Fax: (425) 369-6760
- 955 W Washington StSequim, WA 98382-3266Phone: (360) 406-2036Fax: (360) 406-2037
- 2310 Longfibre RdUnion Gap, WA 98903-1513Phone: (509) 454-5253Fax: (509) 454-5254
Registry dates
- Enumerated
- 2007-01-04
- Last updated
- 2023-01-31
- Certified
- 2023-01-31
Frequently asked questions
- What is Bonney Lake Optical, Inc's NPI number?
- Bonney Lake Optical, Inc's National Provider Identifier (NPI) is 1154478014, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Bonney Lake Optical, Inc?
- Bonney Lake Optical, Inc is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Bonney Lake Optical, Inc located?
- Bonney Lake Optical, Inc's practice location on file with NPPES is 9801 204th Ave E, Bonney Lake, WA 98391-6559.
- What is Bonney Lake Optical, Inc's phone number?
- The practice phone number listed in the NPPES registry for Bonney Lake Optical, Inc is (253) 750-8135.
- Does Bonney Lake Optical, Inc accept Medicare?
- Bonney Lake Optical, Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Bonney Lake Optical, Inc?
- The authorized official listed on Bonney Lake Optical, Inc's NPPES record is Sean Cudahy, Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Bonney Lake Optical, Inc's NPI active?
- Yes — Bonney Lake Optical, Inc's NPI (1154478014) is active in the NPPES registry as of the last update on 2023-01-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.