SEAN CUDAHY O.D.
NPI 1841641719
Optometrist - Pediatrics in Bonney Lake, WA

Q: What is Sean Cudahy's NPI number?

The NPI number for Sean Cudahy is 1841641719. It was assigned to this individual provider in the NPPES registry on June 22, 2016.

Q: What is Sean Cudahy's specialty?

The primary specialty registered for this NPI is Optometrist, specializing in Pediatrics, with taxonomy code 152WP0200X.

Q: When was this NPI record last updated?

The NPPES record for Sean Cudahy was last updated on January 31, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 22, 2016PECOS EnrolledAccepts Medicare Assignment

9801 204TH AVE E, BONNEY LAKE, WA 98391(253) 750-8135(253) 750-8136 Get Directions Write a Review

NPPES record last updated: January 31, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 31, 2023, Jan 19, 2023, Jun 22, 2016 (3 updates tracked since 2016).

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About Sean Cudahy O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SEAN CUDAHY O.D. (NPI 1841641719) is an individual pediatrics provider in Bonney Lake, Washington, licensed in Washington (60667755) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS, maintains 7 additional practice locations, and is a graduate of Pacific University - College Of Optometry (2016).

NPPES Registry Identity

NPI1841641719

Entity TypeIndividualMale

Primary Taxonomy152WP0200X

Provider Legal NameSEAN CUDAHYCredential: O.D.

Location Address9801 204TH AVE EBonney Lake, WA 98391-6559

Mailing Address9801 204th Ave EBonney Lake, WA 98391-6559 · (253) 750-8135 · Fax (253) 750-8136

Phone(253) 750-8135

Fax(253) 750-8136

Sole ProprietorNo

Medical School CMSPacific University - College Of OptometryGraduated 2016

Enumeration DateJune 22, 2016

Last NPPES UpdateJanuary 31, 20233 updates tracked since enumeration

NPPES CertifiedJanuary 31, 2023

✔ NPI 1841641719 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOptometrist · PediatricsEye and Vision Services Providers

Taxonomy Code152WP0200X

License✔ Licensed in WA · 60667755

Definition

Optometrists who work in Pediatrics are concerned with the prevention, development, diagnosis, and treatment of visual problems in children.

Also ListedOptometristTaxonomy 152W00000X · License OD60667755 (WA)

9801 204TH AVE E, Bonney Lake, WA 98391

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Secondary Practice Locations 7

Location 1955 W Washington StSequim, WA 98382-3266 · Phone (360) 406-2036 · Fax (360) 406-2037

Location 248 College RdFairbanks, AK 99701-1706 · Phone (907) 600-0189

Location 32310 Longfibre RdUnion Gap, WA 98903-1513 · Phone (509) 454-5253 · Fax (509) 454-5254

Location 41160 N 1000 WLogan, UT 84321-6846 · Phone (435) 534-0013 · Fax (435) 534-0012

Location 5301 5th StClarkston, WA 99403-1860 · Phone (509) 800-4426 · Fax (509) 516-0006

Location 62290 King Ave WBillings, MT 59102-7415 · Phone (406) 306-9245 · Fax (406) 290-6795

Location 71801 10th Ave NWIssaquah, WA 98027-5384 · Phone (425) 369-6726 · Fax (425) 369-6760

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross Blue Shield of Wyoming, Premera Blue Cross Blue Shield of Alaska and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sean Cudahy O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8921437286

PECOS Enrollment IDI20200407003537

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient complete exam of visual system 92004

A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.

114 services114 patients

Established patient complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

90 services90 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98391 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$130.99 typical visit price

range $57.27 – $172.80

Typical copayment $32.74 (range $14.31 – $43.20)

Most-billed visit code 99204

Established Patient

$71.29 typical visit price

range $18.56 – $141.11

Typical copayment $17.82 (range $4.64 – $35.27)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DEBRA ANN EASTMAN RPH

Pharmacist