Individual provider Active NPI

Amy Yamei Gu, OD

  • Optometrist
  • Bonney Lake, WA
National Provider Identifier
1568201846
Registry record updated Oct 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD61585652 Issued in WA
Practice address
18321 Veterans Memorial Dr E
Bonney Lake, WA 98391-7147
Phone
(253) 400-2128
Fax
(253) 561-7002
NPI assigned
May 24, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OD61585652 WA Primary

Addresses

Primary practice location

18321 Veterans Memorial Dr E
Bonney Lake, WA 98391-7147

Mailing address

18321 Veterans Memorial Dr E
Bonney Lake, WA 98391-7147
Phone (253) 400-2128

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240806004343 WA Practitioner - Optometry 6800333949 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Specialty Eyecare Group IncGroup PAC ID 8325122823, 5 clinicians
G Kaur OD PLLCGroup PAC ID 9638512940, 3 clinicians

Practice addresses (Care Compare)

11830 NE 128TH St
Suite 1
Kirkland, WA 98034-7202
Phone (425) 821-8900

18321 Veterans Memorial Dr E
Bonney Lake, WA 98391-7147
Phone (253) 793-1588

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OD61585652WAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Specialty Eyecare Group Inc Optometrist CurrentSince Jul 16, 2024 Accepting new patients
G Kaur, OD, PLLC Optometrist CurrentSince Sep 17, 2025 Accepting new patients
Northwest Vision Consultants PastSince May 1, 2024 Accepting new patients

Locations

225 106th Ave NE
Bellevue, WA 98004
Phone (425) 454-2028

18321 Veterans Memorial Dr E
Bonney Lake, WA 98391
Phone (253) 400-2128

11830 NE 128th St
Ste 1
Kirkland, WA 98034
Phone (425) 814-8900

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1716508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760918400000",
    "number": "1568201846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18321 VETERANS MEMORIAL DR E",
            "city": "BONNEY LAKE",
            "state": "WA",
            "postal_code": "983917147",
            "telephone_number": "253-400-2128",
            "fax_number": "253-561-7002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18321 VETERANS MEMORIAL DR E",
            "city": "BONNEY LAKE",
            "state": "WA",
            "postal_code": "983917147",
            "telephone_number": "253-400-2128",
            "fax_number": "253-561-7002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GU",
        "first_name": "AMY",
        "middle_name": "YAMEI",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-24",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD61585652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bonney Lake, WA

Sources for this page

Verify at the official NPI Registry.