Bonney Lake Optical, Inc
Pediatrics Clinic
19205 State Route 410 E, Bonney Lake
Washington, 98391-6305
253-826-9156 253-826-9158
Maps & DirectionsBonney Lake Optical, Inc is a Optometrist Center in Bonney Lake, Washington. It is situated at 19205 State Route 410 E, Bonney Lake and its contact number is 253-826-9156. The authorized person of Bonney Lake Optical, Inc is Sean Cudahy
who is Cfo of the clinic and their contact number is 253-750-8135.
Bonney Lake Optical, Inc Center have optometrists who can 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. Optometrists are eye health care professionals who are state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Complete Profile:
Bonney Lake Optical, Inc Center speciality, address, contact phone number and fax are as below.
Patients can call the eye care center on the below given phone number for appointment.
| Specialization: | Optometry |
| Address: | 19205 State Route 410 E, Bonney Lake,
Washington, 98391-6305 |
| Phone: | 253-826-9156 |
| Fax: | 253-826-9158 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Sean Cudahy |
| Position: | Cfo |
| Contact Number: | 253-750-8135 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Bonney Lake Optical, Inc Center are as mentioned below.
| NPI Number: | 1154478014 |
| NPI Enumeration Date: | 04 Jan, 2007 |
| NPI Last Update On: | 02 Sep, 2026 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Bonney Lake Optical, Inc are as mentioned below.
| Specialization | License Number | State | Status | |
| Pediatrics | | | Primary | |
| Optometry | | | Secondary | |
| Durable Medical Equipment & Medical Supplies | 1641 | Washington | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 2009926 | Medicaid | Washington | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Bonney Lake Optical, Inc
Po Box 2139,
Orting, Washington |
| Zip: | 98360-2139 |
| Phone Number: | 253-826-9156 |
| Fax Number: | 253-826-9158 |
Patients can reach Bonney Lake Optical, Inc at
19205 State Route 410 E, Bonney Lake, Washington or can
call to book an appointment on 253-826-9156.
Comments/ Reviews:
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** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 September, 2026.