Bonney Lake Optical, Inc in Bonney Lake - Durable Medical Equipment & Medical Supplies
Bonney Lake Optical, Inc - NPI 1154478014
Bonney Lake Optical, Inc is a Durable Medical Equipment & Medical Supplies in Bonney Lake, Washington. Bonney Lake Optical, Inc practices all healthcare services and medical treatments related to Durable Medical Equipment & Medical Supplies. The NPI Number for Bonney Lake Optical, Inc is 1154478014. The last update date is 2023-01-31.
Bonney Lake Optical, Inc's current location address is 9801 204th Ave E, Bonney Lake, Washington. You can contact this provider via phone number 5375081352 and fax number 2537508136. The mailing address for Bonney Lake Optical, Inc is 9801 204th Ave E, Bonney Lake, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Bonney Lake Optical, Inc |
|---|---|
| Address | 9801 204th Ave E, Bonney Lake, Washington |
| Phone Number | 5375081352 |
| Fax Number | 2537508136 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CFO |
|---|---|
| Authorized Official Name | Cudahy Sean |
| Credentials | OD |
| Telephone Number | 2537508135 |
NPI Number Detail
| NPI Number | 1154478014 |
|---|---|
| Provider Enumeration Date | 2007-01-04 |
| Last Updated Date | 2023-01-31 |
Provider Mailing Address Detail
| Address | 9801 204th Ave E |
|---|---|
| City | Bonney Lake |
| State | Washington (WA) |
| Post Code | 983916559 |
| Phone Number | 5375081352 |
| Fax Number | 2537508136 |
Provider's Primary Taxonomy Detail
| Speciality | Durable Medical Equipment & Medical Supplies |
|---|---|
| Taxonomy | 332B00000X |
| Licence No | 1641 |
|
Definition: A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2009926 | WA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Bonney Lake Optical, Inc by the Centers for Medicare & Medicaid Services (CMS)?
The Bonney Lake Optical, Inc has been assigned the NPI (National Provider Identifier) 1154478014. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Bonney Lake Optical, Inc?
The Bonney Lake Optical, Inc is physically situated at 9801 204Th Ave E, in the city of Bonney Lake, state of WA, with the postal code 983916559.
What is Bonney Lake Optical, Inc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Bonney Lake Optical, Inc is Durable Medical Equipment & Medical Supplies, and the corresponding taxonomy classification code for this specialized field is 332B00000X.
When was the Bonney Lake Optical, Inc's 1154478014 issued?
The Bonney Lake Optical, Inc's 1154478014 was issued on 2007-01-04.
As of what date were the Bonney Lake Optical, Inc's details last updated?
The information pertaining to the Bonney Lake Optical, Inc, including its address, specialty, and other details, was most recently updated on 2023-01-31.