OrganizationActive
Bonney Lake Optical, Inc
NPI 1902953581 · Optometrist · Bonney Lake, WA
Bonney Lake Optical, Inc is a Optometrist organization in Bonney Lake, WA (NPI 1902953581).
Provider details
- NPI number
- 1902953581
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Sean Cudahy, Cfo(253) 750-8135
- License
- 1640 (WA)
Specialties & taxonomies
Eye and Vision Services Providers
Suppliers
Profile Score
Detailed profile(90/100 index)
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
1 documented practice location
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
9801 204th Ave E
Bonney Lake, WA 98391-6559
Phone: (253) 750-8135
Street-level locationGet directions
Mailing address
9801 204th Ave E
Bonney Lake, WA 98391-6559
Other names (DBA / former)
- Doing business as
- Spanaway Lake Optical
- Doing business as
- Spanaway Lake Optical
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 1902953581, 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.
- 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 (1902953581) 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.