# PACIFIC CATARACT AND LASER INSTITUTE INC PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194047092
- **Authorized official:** DARLA PEARSON (CREDENTIALING SPECIALIST)
- **Authorized official phone:** (360) 242-3008

## Contact information

- **Practice address:** 4330 MITCHELL WAY, BELLINGHAM, WA 98226
- **Practice address phone:** (360) 736-6860
- **Practice address fax:** (360) 738-6853
- **Mailing address:** PO BOX 1506, CHEHALIS, WA 98532-0409
- **Mailing address phone:** (360) 242-3008
- **Mailing address fax:** (360) 807-7687

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 601061994 | WA | Yes |

## Other

- **Enumeration date:** 02/18/2010
- **Last updated:** 11/23/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1194047092 | — | WA |