Organization
PACIFIC CATARACT AND LASER INSTITUTE OF ALASKA 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
1600 A ST, SUITE 200, ANCHORAGE, AK 99501-5145
(907) 272-2423
(907) 272-2428
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
246666
AK
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QS0132X
Ophthalmologic Surgery Clinic/Center
246666
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000346
—
AK
05
—
AS9496
—
AK
05
—
MDG077
—
AK
Enumeration date
05/18/2006
Last updated
11/18/2020
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