PACIFIC CATARACT AND LASER INSTITUTE, INC., P.C.

Ambulatory Surgical Clinic/Center · CHEHALIS, WA

Organization Active NPI 1114978848

Taxonomy & licensure

Specialty	Code	Primary	License	State
Ambulatory Surgical Clinic/Center	261QA1903X	✓	—	—
Ambulatory Surgical Clinic/Center	261QA1903X		601 061 994	WA
Ophthalmologic Surgery Clinic/Center	261QS0132X		601 061 994	WA

At a glance

NPI: 1114978848
Entity type: Organization
Enumerated: 2006-05-15
Last updated (NPPES): 2022-07-18

Location

Practice address: 2517 NE KRESKY AVE, CHEHALIS, WA, 98532
Phone: 3607488632
Mailing address: PO BOX 1506, CHEHALIS, WA, 985320409

Organization

Authorized official: DARLA PEARSON — CREDENTIALING SPECIALIST
Subpart: No

Other identifiers

1870164 — MEDICARE ID (ID)
G8853417 — MEDICARE WA (WA)
G8858043 — MEDICARE WA (WA)
GAB22210 — MEDICARE WA (WA)
G0001615100 — MEDICARE WA (WA)
G319000002 — MEDICARE WA
M00005708 — MEDICARE MT (MT)
R108010 — MEDICARE OR (OR)
R147241 — MEDICARE OR (OR)
7020712 (WA)
7144181 (WA)
G000100608 — MEDICARE WA (WA)
G8893457 — MEDICARE WA (WA)
7144132 (WA)
7144173 (WA)
7144215 (WA)
GAB22179 — MEDICARE WA (WA)
GAB19549 — MEDICARE WA (WA)
7144157 (WA)
7144165 (WA)
G000355050 — MEDICARE WA (WA)
G8895424 — MEDICARE WA (WA)
NMB2242 — MEDICARE NM (NM)

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.