Organization Active NPI

G Kaur, OD, PLLC

Doing business as Bonney Lake Family Eye Care

  • Optometrist
  • Bonney Lake, WA
National Provider Identifier
1609491760
Registry record updated Sep 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
G KAUR, OD, PLLC
Doing business as
Bonney Lake Family Eye Care
Practice address
20069 State Route 410 E
Bonney Lake, WA 98391-8460
Phone
(253) 793-1588
NPI assigned
Jun 14, 2020
Last updated
Sep 17, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2025

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

Authorized official

Name
Dr. Gurpinderjeet Kaur, ODNPI 1871889394
Title
Optometrist
Phone
(253) 793-1588

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X Primary

Addresses

Primary practice location

20069 State Route 410 E
Bonney Lake, WA 98391-8460

Mailing address

15512 SE 255TH St
Covington, WA 98042-4190
Phone (440) 570-3694

Other practice location 1

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

Other names 1

  • Bonney Lake Family Eye Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240202003093 WA Part B Supplier - Clinic/Group Practice 9638512940 Receives reassigned benefits from 3 practitioners
Practice locations: Bonney Lake, WA

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1592092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758067200000",
    "number": "1609491760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15512 SE 255TH ST",
            "city": "COVINGTON",
            "state": "WA",
            "postal_code": "980424190",
            "telephone_number": "440-570-3694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20069 STATE ROUTE 410 E",
            "city": "BONNEY LAKE",
            "state": "WA",
            "postal_code": "983918460",
            "telephone_number": "253-793-1588"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18321 Veterans Memorial Dr E",
            "address_purpose": "LOCATION",
            "city": "Bonney Lake",
            "state": "WA",
            "postal_code": "983917147",
            "country_code": "US",
            "telephone_number": "253-793-1588",
            "fax_number": "253-561-7002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "G KAUR, OD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-14",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-17",
        "status": "A",
        "authorized_official_last_name": "KAUR",
        "authorized_official_first_name": "GURPINDERJEET",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "253-793-1588",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bonney Lake Family Eye Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bonney Lake Family Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bonney Lake, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.