Organization · Type 2 NPI
Bonney Lake Optical, Inc
Pediatric Optometrist · Bonney Lake, WA
NPI number
1154478014
Active
Practice location
19205 State Route 410 E
Bonney Lake, WA 98391-6305
Fax (253) 826-9158
Mailing address
PO Box 2139
Orting, WA 98360-2139
Other practice locations
- 743 Rainier Ave S, Renton, WA 98057-3204 · (425) 227-9170
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist | 152W00000X | None listed |
| Pediatric Optometrist Primary | 152WP0200X | None listed |
| Durable Medical Equipment & Medical Supplies | 332B00000X | 1641 (WA) |
Pediatric Optometrist: Optometrists who work in Pediatrics are concerned with the prevention, development, diagnosis, and treatment of visual problems in children.
5 other providers at this address
- Eye 2 Eye Care PSClinic/Center Bonney Lake, WA NPI 1891309928
- Wal-Mart Stores, IncEyewear Supplier Bonney Lake, WA NPI 1649351685
- Richard Orlando Rue, ODOptometrist Bonney Lake, WA NPI 1932211422
- Tam Thien Nguyen, PharmDPharmacist Bonney Lake, WA NPI 1033477856
- Tony Tong, PharmDPharmacist Bonney Lake, WA NPI 1740578673
About NPI 1154478014
Bonney Lake Optical, Inc's National Provider Identifier is 1154478014, issued on Jan 4, 2007. The primary taxonomy on file is Pediatric Optometrist (152WP0200X), and the practice location is in Bonney Lake, WA. The record was last updated on Sep 2, 2026.