Bruce Gerald Cudahy, OD | |
9801 204th Ave E, Bonney Lake, WA 98391-6559 | |
(253) 750-8135 | |
(253) 750-8136 |
Full Name | Bruce Gerald Cudahy |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 39 Years |
Location | 9801 204th Ave E, Bonney Lake, Washington |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457321135 | NPI | - | NPPES |
2001360 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 1641 (Washington) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Bonney Lake Optical Inc | 3971492547 | 2 |
Provider Name | Bonney Lake Optical Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1154478014 PECOS PAC ID: 3971492547 Enrollment ID: O20040311001389 |
Mailing Address | Practice Location Address |
---|---|
Bruce Gerald Cudahy, OD 9801 204th Ave E, Bonney Lake, WA 98391-6559 Ph: (253) 750-8135 | Bruce Gerald Cudahy, OD 9801 204th Ave E, Bonney Lake, WA 98391-6559 Ph: (253) 750-8135 |
Emerald Eye Care Optometrist Medicare: Medicare Enrolled Practice Location: 9801 204th Ave E, Bonney Lake, WA 98391 Phone: 253-750-8135 Fax: 253-750-8136 | |
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