SPANAWAY LAKE OPTICAL
NPI 1902953581
Optometrist in Bonney Lake, WA

Q: What is Bonney Lake Optical, Inc's NPI number?

The NPI number for Bonney Lake Optical, Inc is 1902953581. It was assigned to this organization in the NPPES registry on January 4, 2007. The provider is doing business as Spanaway Lake Optical.

Q: What is Bonney Lake Optical, Inc's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Active since January 04, 2007

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

NPPES record last updated: January 31, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 31, 2023, Aug 22, 2020 (2 updates tracked since 2020).

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About Spanaway Lake Optical NPPES

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

SPANAWAY LAKE OPTICAL (NPI 1902953581) is a healthcare organization registered as an optometrist in Bonney Lake, Washington and active in the NPI registry since January 2007. The organization lists Sean Cudahy, Cfo, as its authorized official.

NPPES Registry Identity

NPI1902953581

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameBONNEY LAKE OPTICAL, INC

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

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

Phone(253) 750-8135

Organization SubpartNo

Authorized OfficialSean CudahyCfo · (253) 750-8135

Enumeration DateJanuary 4, 2007

Last NPPES UpdateJanuary 31, 20232 updates tracked since enumeration

NPPES CertifiedJanuary 31, 2023

✔ NPI 1902953581 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

Definition

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. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X · License 1640 (WA)

9801 204TH AVE E, Bonney Lake, WA 98391

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Other Names 1

Doing Business AsSpanaway Lake Optical

Other Identifiers 1

Medicaid2001360WA

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, Moda Health Plan, Inc. and more.Insurance ›

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