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PACIFIC CATARACT AND LASER INSTITUTE INC PC
NPI 1912174996
Clinic/Center - Ambulatory Surgical in Great Falls, MT

Active since May 09, 2008CLIA 27D0998403 · Waiver
1621 MARKET PLACE DR, GREAT FALLS, MT 59404(406) 454-2202(360) 807-7687 Get Directions Write a Review

NPPES record last updated: June 20, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 20, 2025, Jul 18, 2022, Nov 23, 2020 and 1 more (4 updates tracked since 2016).

About Pacific Cataract And Laser Institute Inc Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PACIFIC CATARACT AND LASER INSTITUTE INC PC (NPI 1912174996) is a healthcare organization registered as an ambulatory surgical in Great Falls, Montana and active in the NPI registry since May 2008. The organization holds a CLIA Waiver certificate valid through April 14, 2028 and lists Darla Pearson, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1912174996
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NamePACIFIC CATARACT AND LASER INSTITUTE INC PC
Location Address1621 MARKET PLACE DRGreat Falls, MT 59404-3480
Mailing AddressPo Box 1506Chehalis, WA 98532-0409 · (360) 242-3008 · Fax (360) 807-7687
Phone(406) 454-2202
Fax(360) 807-7687
Organization SubpartNo
Authorized OfficialDarla PearsonCredentialing Specialist · (360) 242-3008
Enumeration DateMay 9, 2008
Last NPPES UpdateJune 20, 20254 updates tracked since enumeration
NPPES CertifiedJune 20, 2025
✔ NPI 1912174996 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License✔ Licensed in MT · 10878
Also ListedClinic/CenterTaxonomy 261Q00000X
Also ListedClinic/Center · Ophthalmologic SurgeryTaxonomy 261QS0132X · License 10878 (MT)
1621 MARKET PLACE DR, Great Falls, MT 59404
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Mountain Health CO-OP, PacificSource Health Plans.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pacific Cataract And Laser Institute Inc Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateMontanaEnrollment IDO20040816000723Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

26

Medicare enrollment records show 26 clinicians reassign Medicare billing to Pacific Cataract And Laser Institute Inc PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 3

Ophthalmology11
Optometry11
Certified Registered Nurse Anesthetist (CRNA)4

Nearest to this location (20)

See all 26
Kimberly Lust Rueb, OD
Optometry
NPI 1508207176
1621 MARKET PLACE DR
Great Falls, MT 59404
(406) 454-2202
✔ PECOS✔ Accepts MedicareSame address
Theodore Bogsrud, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1215968961
16818 E DESMET CT
Spokane Valley, WA 99216
(509) 456-5380
✔ Accepts Medicare273 mi
Kimberly Calnan-Holt, OD
Optometry
NPI 1790881514
16818 E DESMET CT
Spokane Valley, WA 99216
(509) 456-5380
✔ PECOS✔ Accepts Medicare273 mi
Loren Seery, MD
Ophthalmology
NPI 1407069123
16818 E DESMET CT
Spokane Valley, WA 99216
(509) 456-5380
✔ PECOS✔ Accepts Medicare273 mi
Alexander Archibald, OD
Optometry
NPI 1336205632
2822 S VISTA AVE
Boise, ID 83705
(208) 385-7576
✔ PECOS✔ Accepts Medicare358 mi
James Guzek, MD
Ophthalmology
NPI 1104878859
6695 W RIO GRANDE AVE
Kennewick, WA 99336
(509) 736-0826
✔ PECOS✔ Accepts Medicare382 mi
Oswald Rondon, M.D.
Ophthalmology
NPI 1285680769
6695 W RIO GRANDE AVE
Kennewick, WA 99336
(509) 736-0826
✔ PECOS✔ Accepts Medicare382 mi
Aaron Anderson, O.D.
Optometry
NPI 1891738795
6695 W RIO GRANDE AVE
Kennewick, WA 99336
(509) 736-0826
✔ PECOS✔ Accepts Medicare383 mi
Brian Carey, M.D.
Ophthalmology
NPI 1942377502
2606 116TH AVE NE STE 100
Bellevue, WA 98004
(425) 462-7664
✔ PECOS✔ Accepts Medicare507 mi
Gleb Sukhovolskiy, OD
Optometry
NPI 1245515394
2915 S ALDER ST
Tacoma, WA 98409
(253) 473-0275
✔ PECOS✔ Accepts Medicare522 mi
Melissa Dacumos, OD
Optometry
NPI 1235180225
2915 S ALDER ST
Tacoma, WA 98409
(253) 473-0275
✔ PECOS✔ Accepts Medicare522 mi
Abigail Neal, OD
Optometry
NPI 1730296005
2915 S ALDER ST
Tacoma, WA 98409
(253) 473-0275
✔ PECOS✔ Accepts Medicare522 mi
Reid Mamiya, OD
Optometry
NPI 1407963770
115 NEW VIEW CT NE
Olympia, WA 98506
(360) 252-1642
✔ PECOS✔ Accepts Medicare541 mi
Arlissa Washington, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1861431132
115 NEW VIEW CT NE
Olympia, WA 98506
(360) 252-1642
✔ Accepts Medicare541 mi
Kevin Burman, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1457674640
2517 NE KRESKY AVENUE
Chehalis, WA 98532
(360) 748-8632
✔ Accepts Medicare550 mi
Paul Chung, MD
Ophthalmology
NPI 1306953617
2517 NE KRESKY AVE
Chehalis, WA 98532
(360) 748-8632
✔ PECOS✔ Accepts Medicare550 mi
Robert Ford, MD
Ophthalmology
NPI 1295842524
2517 NE KRESKY AVE
Chehalis, WA 98532
(360) 748-8632
✔ PECOS✔ Accepts Medicare550 mi
Robert Ford, MD
Ophthalmology
NPI 1598959108
2517 NE KRESKY AVE
Chehalis, WA 98532
(360) 748-8632
✔ PECOS✔ Accepts Medicare550 mi
Jason Leng, MD
Ophthalmology
NPI 1730396326
2517 NE KRESKY AVE
Chehalis, WA 98532
(360) 748-8632
✔ PECOS✔ Accepts Medicare550 mi
Traci Prayner, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1841369899
PO BOX 1506
Chehalis, WA 98532
(360) 242-3010
✔ Accepts Medicare554 mi
See all 26 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 27D0998403

Pacific Cataract And Laser Institute · Great Falls, MT
Active · expires Apr 14, 2028
CLIA Number27D0998403
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateApril 15, 2026
Certificate Expiration DateApril 14, 2028
Laboratory DirectorKimberly L. Lust Rueb
Laboratory Phone(406) 454-2202
Laboratory LocationPacific Cataract And Laser Institute1621 Market Place Drive, Great Falls, MT 59404
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
427 services242 patients
Removal of recurring cataract in lens capsule using a laser 66821
This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.
164 services106 patients
Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye 66991
This is a two-part eye procedure. First, a cloudy lens (cataract) is removed from its outer layer and replaced with an artificial lens to improve vision. Second, a drainage device is inserted into the front part of the eye to manage fluid levels, preventing pressure build-up.
31 services19 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pacific Cataract And Laser Institute Inc PC's NPI number?

The NPI number for Pacific Cataract And Laser Institute Inc PC is 1912174996. It was assigned to this organization in the NPPES registry on May 9, 2008.

Where is Pacific Cataract And Laser Institute Inc PC located?

Pacific Cataract And Laser Institute Inc PC is located at 1621 Market Place Dr, Great Falls, MT 59404. The listed phone number is (406) 454-2202.

What is Pacific Cataract And Laser Institute Inc PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Is Pacific Cataract And Laser Institute Inc PC enrolled in Medicare?

Yes. Pacific Cataract And Laser Institute Inc PC is registered in the Medicare PECOS enrollment system.

When is Pacific Cataract And Laser Institute Inc PC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Montana, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Pacific Cataract And Laser Institute Inc PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 26 clinicians in 3 Medicare specialties reassign their Medicare billing to Pacific Cataract And Laser Institute Inc PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Ophthalmology (11), Optometry (11) and Certified Registered Nurse Anesthetist (CRNA) (4). Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Pacific Cataract And Laser Institute Inc PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 27D0998403) is associated with this NPI, valid through April 14, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Pacific Cataract And Laser Institute Inc PC accept?

Health plans from Blue Cross and Blue Shield of Montana, Mountain Health CO-OP and PacificSource Health Plans list Pacific Cataract And Laser Institute Inc PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pacific Cataract And Laser Institute Inc PC was last updated on June 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.