PACIFIC CATARACT AND LASER INSTITUTE INC PC NPI 1275700957

NPI Information

NPI: 1275700957
Provider Name: PACIFIC CATARACT AND LASER INSTITUTE INC PC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 13D0880569

Address:
2822 S VISTA AVENUE
BOISE, ID
ZIP 83705
Phone: (208) 385-7576
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PACIFIC CATARACT AND LASER INSTITUTE INC PC is an ambulatory surgical clinic center in Boise, ID. PACIFIC CATARACT AND LASER INSTITUTE INC PC NPI is 1275700957. The provider is registered as an organization entity type.

The provider's business location address is:

2822 S VISTA AVENUE
BOISE, ID
ZIP 83705
Phone: (208) 385-7576
Fax: (208) 385-0050

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 13D0880569 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/13/2008 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		IDAHO	No
2	261QA1903X	Clinic/Center	Ambulatory Surgical		IDAHO	Yes

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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