Bonney Lake Optical, Inc

Organization Active
NPI 1154478014
Pediatric Optometrist Bonney Lake, WA

NPI 1154478014 belongs to Bonney Lake Optical, Inc, a pediatric optometrist with a practice location in Bonney Lake, WA. The NPI was issued on January 4, 2007, and the record was last updated in NPPES on September 2, 2026. The record lists 3 taxonomy codes. One additional practice location is listed.

Taxonomies and licenses

TaxonomyCodeLicense
Pediatric Optometrist Primary 152WP0200X Not listed
Optometrist 152W00000X Not listed
Durable Medical Equipment & Medical Supplies 332B00000X 1641 (WA)

Practice locations

19205 State Route 410 E
Bonney Lake, WA 98391-6305
Phone: (253) 826-9156
743 Rainier Ave S
Renton, WA 98057-3204
Phone: (425) 227-9170

Local context

Active NPPES records list 5 providers with pediatric optometrist as the primary taxonomy within 25 miles of this practice location's ZIP code, 3 of them within 10 miles.

The same primary taxonomy is listed by 11 in Washington and 323 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Status
Active
NPI issued
Last updated in NPPES

Is this your record? Updates are made through NPPES, the official National Plan and Provider Enumeration System.

NPPES data as of · Source: CMS NPPES

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