Emerald Eye Care
LBN: Bonney Lake Optical, Inc
Emerald Eye Care is an health care organization with primary practice located at 9801 204Th Ave E , Bonney Lake WA 98391-6559. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Suppliers / Durable Medical Equipment & Medical Supplies. Eye and Vision Services Providers / Optometrist is the primary health care specialty.
Bonney Lake Optical, Inc can be contacted via phone (253) 750-8135, or through Cudahy, Sean via phone (253) 750-8135.
Contact Information
Primary practice address
9801 204Th Ave E
Bonney Lake WA 98391-6559
Phone: (253) 750-8135
Fax: (253) 750-8136
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | ||
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | 1641 | Washington |
Profile Details
| NPI number | 1154478014 |
|---|---|
| LBN Legal business name | Bonney Lake Optical, Inc |
| DBA Doing business as | Emerald Eye Care |
| Authorized official | Cudahy, Sean Doctor of Optometry (OD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 4th, 2007 |
| Last updated | Jan 31st, 2023 - about 2 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154478014 | NPPES |
| Washington | MEDICAID | 2009926 |
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