National Provider Identifier Database

BONNEY LAKE OPTICAL INC
Optometrist

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.


Contact Information

BONNEY LAKE OPTICAL, INC
9801 204TH AVE E
BONNEY LAKE, WA98391-6559
Phone: 253-750-8135
Fax: 253-750-8136
Website:
Specialty Taxonomy Code
* Optometrist 152W00000X
Durable Medical Equipment & Medical Supplies 332B00000X

* Indicates primary specialty

NPI Profile & details for BONNEY LAKE OPTICAL, INC

NPI Number 1154478014
Legal business name
LBN
BONNEY LAKE OPTICAL, INC
Authorized official SEAN CUDAHY - (CFO)
Entity Organization
Organization subpart No
Enumeration date 01/04/2007
Last updated 01/31/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers
  • WA License #: 1641
  • WA Medicaid: 2009926

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for BONNEY LAKE OPTICAL, INC

There are currently no reviews for BONNEY LAKE OPTICAL, INC


NPIdb - Home
v2.201