Organization
PACIFIC CATARACT AND LASER INSTITUTE INC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARLA PEARSON (CREDENTIALING SPECIALIST)
(360) 242-3008
Entity
Organization
Contact information
Practice address
2606 116TH AVE NE STE 100, BELLEVUE, WA 98004-1422
(425) 462-7664
(425) 462-6429
Mailing address
PO BOX 1506, CHEHALIS, WA 98532-0409
(360) 748-8632
(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
Enumeration date
05/13/2008
Last updated
07/18/2022
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