NPIMap

Organization Active NPI

Pacific Cataract and Laser Institute, Inc., P.C.

  • Ophthalmologic Surgery Clinic/Center
  • Auburn, WA
National Provider Identifier
1528814647
Registry record updated Nov 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmologic Surgery Clinic/CenterTaxonomy code 261QS0132X
Legal business name
PACIFIC CATARACT AND LASER INSTITUTE, INC., P.C.
Practice address
1402 Lake Tapps Pkwy SE Ste F106
Auburn, WA 98092-8157
Phone
(877) 888-0413
Fax
(253) 679-0483
NPI assigned
Apr 29, 2024
Last updated
Nov 1, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2024

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 1

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

Addresses

Primary practice location

1402 Lake Tapps Pkwy SE Ste F106
Auburn, WA 98092-8157

Mailing address

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040213000312 WA Part B Supplier - Clinic/Group Practice 7517864119 Receives reassigned benefits from 73 practitioners
11 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Lacey, WA; Yakima, WA; Vancouver, WA; Tacoma, WA; Spokane Valley, WA; Silverdale, WA; Kennewick, WA; Chehalis, WA…

Other NPIs on the same Medicare enrollment 11

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

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
50D2308845Pacific Cataract and Laser Institute Inc PC1402 Lake Tapps Pkwy SE Ste F106, Auburn, WA 98092Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory
Tax ID family
Pacific Cataract and Laser Institute Inc PC12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Locations

250 W Bobwhite Ct
Ste 100
Boise, ID 83706
Phone (208) 385-7576

3330 4th St
Lewiston, ID 83501
Phone (208) 746-2025

8220 San Pedro Dr NE
Ste 220
Albuquerque, NM 87113
Phone (360) 242-4610

10500 NE 8th St
Ste 1650
Bellevue, WA 98004
Phone (206) 462-7664

8200 W Grandridge Blvd
Kennewick, WA 99336
Phone (509) 736-0826

9951 Mickelberry Rd NW
Ste 123
Silverdale, WA 98383
Phone (360) 286-2351

534 E Spokane Falls Blvd
Ste 200
Spokane, WA 99202
Phone (360) 242-3008

3730 S Pine St
Tacoma, WA 98409
Phone (253) 473-0275

103 E 29th St
Vancouver, WA 98663
Phone (360) 694-2544

1020 S 40th Ave
Ste G
Yakima, WA 98908
Phone (509) 361-5599

Practitioners & affiliated clinicians

Practitioners 77

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 77

NPI Registry JSON

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

{
    "created_epoch": "1714348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730419200000",
    "number": "1528814647",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1402 LAKE TAPPS PKWY SE STE F106",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980928157",
            "telephone_number": "877-888-0413",
            "fax_number": "253-679-0483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC CATARACT AND LASER INSTITUTE, INC., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-29",
        "last_updated": "2024-11-01",
        "certification_date": "2024-11-01",
        "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": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2024; 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.