Healthcare Provider Details

I. General information

NPI: 1215178835
Provider Name (Legal Business Name): PACIFIC CATARACT AND LASER INSTITUTE, INC., P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/11/2009
Last Update Date: 03/02/2026
Certification Date: 03/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7730 BRITTON PKWY NE
LACEY WA
98516-4642
US

IV. Provider business mailing address

115 NEW VIEW COURT NE
OLYMPIA WA
98506
US

V. Phone/Fax

Practice location:
  • Phone: 360-242-3008
  • Fax: 360-807-7687
Mailing address:
  • Phone: 360-242-4610
  • Fax: 360-807-7687

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QS0132X
TaxonomyOphthalmologic Surgery Clinic/Center
License NumberASFFS60101112
License Number StateWA

VIII. Authorized Official

Name: CANDICE AUMAN
Title or Position: CREDENTIALING SPECIALIST
Credential:
Phone: 360-242-3008