Search › Washington › 152W00000X
Bruce Cudahy, O.D
NPI 1457321135 · on the registry since 2006
Practice
- Address
- 9801 204th Ave E
Bonney Lake, WA 98391 - Phone
- (253) 750-8135
- Fax
- (253) 750-8136
- Organisation at this address
- Bonney Lake Optical, Inc
Costco Wholesale Corporation
Costco Wholesale Corporation
Costco Wholesale CorporationInferred from a shared address, not stated in the registry. - Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-01-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington