PACIFIC CATARACT AND LASER INSTITUTE INC PC NPI 1194970418

NPI Information

NPI: 1194970418
Provider Name: PACIFIC CATARACT AND LASER INSTITUTE INC PC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 32D1094807

Address:
8220 SAN PEDRO NE
SUITE 220
ALBUQUERQUE, NM
ZIP 87113
Phone: (505) 797-4466
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PACIFIC CATARACT AND LASER INSTITUTE INC PC is an ambulatory surgical clinic center in Albuquerque, NM. PACIFIC CATARACT AND LASER INSTITUTE INC PC NPI is 1194970418. The provider is registered as an organization entity type.

The provider's business location address is:

8220 SAN PEDRO NE
SUITE 220
ALBUQUERQUE, NM
ZIP 87113
Phone: (505) 797-4466
Fax: (505) 797-2275

The provider's authorized official is Darla Pearson .
The authorized official title is Credentialing Specialist and has the following contact phone number (360) 242-3008.

The CLIA number assigned to this NPI record is 32D1094807 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/1/2008 and was last updated on 7/18/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QS0132X	Clinic/Center	Ophthalmologic Surgery			No
2	261QA1903X	Clinic/Center	Ambulatory Surgical			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	70504598	MEDICAID	NEW MEXICO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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