Bonney Lake Optical, Inc
NPI 1902953581ActiveOrganization· Optometrist· Bonney Lake, WA
Optometrist in Bonney Lake, Washington, registered in NPPES in January 2007. The authorized official on file is Sean Cudahy, Cfo.
Overview
| NPI | 1902953581 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 4, 2007 |
| Last updated in NPPES | Jan 31, 2023 |
| Certified by provider | Jan 31, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | 1640 | WA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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