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Organization
PACIFIC CATARACT AND LASER INSTITUTE INC PC
Active
Organization
PACIFIC CATARACT AND LASER INSTITUTE INC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBIE J ELDREDGE (VP / COO)
(360) 748-8632
Entity
Organization
Contact information
Practice address
2517 NE KRESKY AVE, CHEHALIS, WA 98532
(360) 748-8632
(360) 807-7687
Mailing address
PO BOX 1506, CHEHALIS, WA 98532-0409
(360) 242-3008
(360) 807-7687
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
601061994
WA
261QS0132X
Ophthalmologic Surgery Clinic/Center
601061994
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7020712
—
WA
Enumeration date
05/15/2008
Last updated
07/18/2022
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