Optometrist
BONNEY LAKE OPTICAL, INC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1902953581 · enumerated 2007-01-04 · record updated 2023-01-31. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: SEAN CUDAHY, CFO · (253) 750-8135
Other names: SPANAWAY LAKE OPTICAL
Addresses and phones
- Practice location 9801 204TH AVE E, BONNEY LAKE, WA, 98391-6559 (253) 750-8135 Google Maps Apple Maps OpenStreetMap
- Mailing address 9801 204TH AVE E, BONNEY LAKE, WA, 98391-6559 (253) 750-8135 Google Maps Apple Maps OpenStreetMap
Specialties
- Durable Medical Equipment & Medical Supplies 332B00000X · License 1640 WA
- Optometrist 152W00000X · Primary
In this directory
Locations and evidence
-
Practice location
BONNEY LAKE, WA, 983916559
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.