PACIFIC CATARACT AND LASER INSTITUTE INC PC (NPI# 1114978848) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114978848 |
| Entity Type | Organization |
| Organization Name | PACIFIC CATARACT AND LASER INSTITUTE INC PC |
| Practice Address |
2517 Ne Kresky Ave Chehalis WA 98532 |
| Mailing Address |
Po Box 1506 Chehalis WA 98532-0409 |
| Practice Telephone | 3607488632 |
| Practice Fax Number | 3607483869 |
| Mailing Telephone | 3602423008 |
| Mailing Fax Number | 3608077687 |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2018-07-31 |
| Authorized Official Name | DEBBIE J ELDREDGE (EXEC VP, COO) |
| Authorized Official Telephone | 3607488632 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QS0132X |
Clinic/Center Specialization: Ophthalmologic Surgery |
601 061 994 | WA | Ambulatory Health Care Facilities |
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
601 061 994 | WA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 7144173 | 05 | |
| WA | 7144165 | 05 | |
| WA | 7144132 | 05 | |
| WA | 7020712 | 05 | |
| WA | 7144140 | 05 | |
| WA | 7144215 | 05 | |
| WA | 7144181 | 05 | |
| WA | 7144157 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194047092 | Pacific Cataract and Laser Institute Inc PC | Clinic/Center | 4330 Mitchell Way, Bellingham, WA 98226 | 2010-02-18 |
| 1245471788 | Pacific Cataract and Laser Institute Inc PC | Clinic/Center | 1331 Nw Lovejoy Street, Suite 750, Portland, OR 97209 | 2009-03-12 |
| 1215178835 | Pacific Cataract and Laser Institute Inc PC | Clinic/Center | 115 New View Court Ne, Olympia, WA 98506 | 2009-03-11 |
| 1194970418 | Pacific Cataract and Laser Institute Inc PC | Clinic/Center | 8220 San Pedro Ne, Suite 220, Albuquerque, NM 87113 | 2008-12-01 |
| 1538336219 | Pacific Cataract and Laser Institute Inc PC | Clinic/Center | 3900 Kern Way, Yakima, WA 98902-7803 | 2008-05-13 |
| 1831366517 | Pacific Cataract and Laser Institute Inc PC | Clinic/Center | 16818 E Desmet Ct, Spokane Valley, WA 99216 | 2008-05-13 |
| 1275700957 | Pacific Cataract and Laser Institute Inc PC | Clinic/Center | 2822 S Vista Avenue, Boise, ID 83705 | 2008-05-13 |
| 1558538231 | Pacific Cataract and Laser Institute Inc PC | Clinic/Center | 9598 Mickelberry Rd Nw, Silverdale, WA 98383-8309 | 2008-05-13 |
| 1306013925 | Pacific Cataract and Laser Institute Inc PC | Clinic/Center | 2606 116th Ave Ne Ste 100, Bellevue, WA 98004-1422 | 2008-05-13 |
| 1912174996 | Pacific Cataract and Laser Institute Inc PC | Clinic/Center | 1621 Market Place Dr, Great Falls, MT 59404-3480 | 2008-05-09 |
| Street Address |
2517 NE KRESKY AVE |
| City | CHEHALIS |
| State | WA |
| Zip Code | 98532 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952304198 | Paul Kurtis Anderson | Nurse Anesthetist, Certified Registered | 2517 Ne Kresky Ave, Chehalis, WA 98532-2409 | 2005-05-23 |
| 1750636726 | Myung H Jung | Optometrist | 2517 Ne Kresky Ave, Chehalis, WA 98532-2409 | 2012-07-17 |
| 1487821633 | Pacific Cataract and Laser Institute Inc PC | Clinic/Center | 2517 Ne Kresky Ave, Chehalis, WA 98532 | 2008-05-15 |
| 1598959108 | Robert Marshall Ford | Ophthalmology | 2517 Ne Kresky Ave, Chehalis, WA 98532-2409 | 2007-08-28 |
| 1457559072 | Mark Allen Maraman | Optometrist | 2517 Ne Kresky Ave, Chehalis, WA 98532-2409 | 2007-07-05 |
| 1730396326 | Jason Leng | Ophthalmology | 2517 Ne Kresky Ave, Chehalis, WA 98532-2409 | 2007-05-16 |
| 1891862769 | David Gano | Ophthalmology | 2517 Ne Kresky Ave, Chehalis, WA 98532-2409 | 2006-11-29 |
| 1992874069 | Donald Allen Zinke | Nurse Anesthetist, Certified Registered | 2517 Ne Kresky Ave, Chehalis, WA 98532-2409 | 2006-11-06 |
| 1881701761 | David L Stanfield | Optometrist | 2517 Ne Kresky Ave, Chehalis, WA 98532-2409 | 2006-08-24 |
| 1376650267 | Ronald K Sugiyama | Ophthalmology | 2517 Ne Kresky Ave, Chehalis, WA 98532-2409 | 2006-08-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275140832 | Joshua Russell Wachter | Registered Nurse | 275 W. Vine St., Napavine, WA 98532 | 2020-09-28 |
| 1891339123 | Dara Casey | Technician | 271-1 Romerman Rd, Chehalis, WA 98532 | 2019-10-30 |
| 1265997704 | April D Bacongco | Counselor | 500 Se Washington St, Chehalis, WA 98532 | 2019-02-08 |
| 1235610155 | Alyssa Dawn Ware | Physical Therapist | 1441 Kresky Ave, Chehalis, WA 98532 | 2018-08-28 |
| 1609365238 | American Behavioral Health Systems, Inc. | Substance Abuse Rehabilitation Facility | 500 Se Adams Ave, Chehalis, WA 98532 | 2018-05-09 |
| 1043709314 | Kevin Bumatay Duran | Family Medicine | 931 S. Market Blvd, Chehalis, WA 98532 | 2018-05-02 |
| 1164922324 | William I. Mcmillan | Counselor | 121 Nw Chehalis St., Chehalis, WA 98532 | 2018-02-14 |
| 1285155366 | Great Rivers Behavioral Health Organization | Community/Behavioral Health | 57 W Main Street, Suite 260, Chehalis, WA 98532 | 2017-06-29 |
| 1396273637 | Misty Anne Glenn | Counselor | 121 Nw Chehalis Ave, Chehalis, WA 98532 | 2017-05-31 |
| 1841726221 | Dodi Forgione | Counselor | 2401 Ne Kresky Ave Ste D, Chehalis, WA 98532 | 2017-05-04 |
| Find all providers in zip 98532 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
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| 1356965750 | Proliance Surgery Center At Valley, LLC | Clinic/Center | 4009 Talbot Road S, Suite 200, Renton, WA 98055 | 2020-06-01 |
| 1861041139 | Kadlec Regional Medical Center | Clinic/Center | 1270 Lee Blvd Ste B, Richland, WA 99352-4231 | 2019-09-09 |
| 1891357406 | Phoenix Ionm, LLC. | Clinic/Center | 11 Ohrazda Ln, East Wenatchee, WA 98802-9335 | 2019-07-03 |
| 1023570488 | Sight Partners, LLC | Clinic/Center | 3405 188th St Sw Ste 303, Lynnwood, WA 98037-4744 | 2019-04-04 |
| 1609345727 | Liberty Asc | Clinic/Center | 507 N Sullivan Suite 120, Spokane Valley, WA 99037 | 2018-11-19 |
| 1376026575 | Alderwood Surgery Center LLC | Clinic/Center | 3500 188th St Sw Ste 670, Lynnwood, WA 98037-4782 | 2018-09-13 |
| 1023507183 | South Perry Endoscopy Pllc | Clinic/Center | 907 S Perry St Ste 260, Spokane, WA 99202-3462 | 2018-05-04 |
| 1730687179 | Multicare Health System | Clinic/Center | 842 S Cowley St Ste 3, Spokane, WA 99202-1234 | 2018-01-31 |
| 1295258697 | Washington Center for Pain Management Pllc | Clinic/Center | 155 Lilly Rd Ne Ste 2, Olympia, WA 98506-5028 | 2017-07-18 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.