NPIMap

Organization Active NPI

Pacific Cataract and Laser Institute Inc PC

  • Ambulatory Surgical Clinic/Center
  • Albuquerque, NM
National Provider Identifier
1194970418
Registry record updated Jul 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
PACIFIC CATARACT AND LASER INSTITUTE INC PC
Practice address
8220 San Pedro NE
Suite 220
Albuquerque, NM 87113
Phone
(505) 797-4466
Fax
(505) 797-2275
NPI assigned
Dec 1, 2008
Last updated
Jul 18, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Darla Pearson
Title
Credentialing Specialist
Phone
(360) 242-3008

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X NU Primary
Ophthalmologic Surgery Clinic/Center 261QS0132X NU

Addresses

Primary practice location

8220 San Pedro NE
Suite 220
Albuquerque, NM 87113

Mailing address

PO Box 1506
Chehalis, WA 98532-0409
Phone (360) 242-3008

Other identifiers 1

IdentifierTypeStateIssuer
70504598MedicaidNM

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address asc.pclialbuquerque.p1@direct.pcli.nextgenshare.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20090513000079 NM Part B Supplier - Clinic/Group Practice 7517864119 Receives reassigned benefits from 17 practitioners
Practice locations: Albuquerque, NM
O20160209000145 NM Part B Supplier - Ambulatory Surgical Center 7517864119 Practice locations: Albuquerque, NM

Other NPIs with the same Medicare PAC ID 14

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 14

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Pacific Cataract and Laser Institute Inc PCCCN 32C0001124
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
32D1094807Pacific Cataract and Laser Institute Inc8220 San Pedro NE Suite 220, Albuquerque, NM 87113Certificate of waiverJan 26, 2027

National Provider Directory

National Provider Directory

Interoperability endpoints

  • Direct secure messaging: asc.pclialbuquerque.p1@direct.pcli.nextgenshare.com

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 19

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1228089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658102400000",
    "number": "1194970418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1506",
            "city": "CHEHALIS",
            "state": "WA",
            "postal_code": "985320409",
            "telephone_number": "360-242-3008",
            "fax_number": "360-807-7687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8220 SAN PEDRO NE",
            "address_2": "SUITE 220",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87113",
            "telephone_number": "505-797-4466",
            "fax_number": "505-797-2275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC CATARACT AND LASER INSTITUTE INC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-01",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A",
        "authorized_official_last_name": "PEARSON",
        "authorized_official_first_name": "DARLA",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "360-242-3008"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "70504598",
            "state": "NM"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "asc.pclialbuquerque.p1@direct.pcli.nextgenshare.com",
            "affiliation": "N",
            "address_1": "8220 San Pedro NE",
            "address_2": "Suite 220",
            "city": "Albuquerque",
            "state": "NM",
            "country_code": "US",
            "postal_code": "87113",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.