NPIMap

Organization Active NPI

Pacific Cataract and Laser Institute Inc PC

  • Ambulatory Surgical Clinic/Center
  • Vancouver, WA
National Provider Identifier
1659548329
Registry record updated Nov 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
601061994 Issued in WA
Legal business name
PACIFIC CATARACT AND LASER INSTITUTE INC PC
Practice address
9309 NE 86TH St
Vancouver, WA 98662-2100
Phone
(360) 694-2544
Fax
(360) 807-7687
NPI assigned
May 13, 2008
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
Candice Auman
Title
Credentialing Specialist
Phone
(360) 242-3008

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 601061994 WA Primary
Ophthalmologic Surgery Clinic/Center 261QS0132X 601061994 WA

Addresses

Primary practice location

9309 NE 86TH St
Vancouver, WA 98662-2100

Mailing address

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

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address asc.pclivancouver.p1@direct.pcli.nextgenshare.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA2 enrollments

Enrollment records 2

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…
O20120807000878 WA Part B Supplier - Ambulatory Surgical Center 7517864119 Receives reassigned benefits from 1 practitioner
Practice locations: Vancouver, WA

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

Other NPIs on the same Medicare enrollment 11

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

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Pacific Cataract and Laser Institute Inc PCCCN 50C0001254
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
50D1046258Pacific Cataract and Laser Institute9309 NE 86TH Street, Vancouver, WA 98662Certificate 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

2517 NE Kresky Ave
Chehalis, WA 98532
Phone (360) 748-8632

2205 NE 129th St
Vancouver, WA 98686
Phone (360) 450-6644

Interoperability endpoints

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

Practitioners & affiliated clinicians

Practitioners 70

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 70

NPI Registry JSON

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

{
    "created_epoch": "1210636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730419200000",
    "number": "1659548329",
    "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": "9309 NE 86TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986622100",
            "telephone_number": "360-694-2544",
            "fax_number": "360-807-7687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC CATARACT AND LASER INSTITUTE INC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-13",
        "last_updated": "2024-11-01",
        "certification_date": "2024-11-01",
        "status": "A",
        "authorized_official_last_name": "AUMAN",
        "authorized_official_first_name": "CANDICE",
        "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": "WA",
            "license": "601061994",
            "primary": true
        },
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": "WA",
            "license": "601061994",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "asc.pclivancouver.p1@direct.pcli.nextgenshare.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "9309 NE 86th St",
            "city": "Vancouver",
            "state": "WA",
            "country_code": "US",
            "postal_code": "986622100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Vancouver, 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.