HIGHLAND VISION CLINIC, P.S.
NPI 1255406351
Optometrist in Shoreline, WA
About Highland Vision Clinic, P.s. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HIGHLAND VISION CLINIC, P.S. (NPI 1255406351) is a healthcare organization registered as an optometrist in Shoreline, Washington and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists John L Otto, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 7
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Highland Vision Clinic, P.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
6Medicare enrollment records show 6 clinicians reassign Medicare billing to Highland Vision Clinic, P.S., which bills Medicare for the services they deliver. Of these, 3 practice at this address and 5 within 10 miles. They are listed nearest first.
Clinicians, nearest first (6)
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 50D2104979
Highland Vision Clinic · Shoreline, WAFrequently 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 Highland Vision Clinic, P.S.'s NPI number?
The NPI number for Highland Vision Clinic, P.S. is 1255406351. It was assigned to this organization in the NPPES registry on November 22, 2006.
Where is Highland Vision Clinic, P.S. located?
Highland Vision Clinic, P.S. is located at 701 N 182nd St Suite 101, Shoreline, WA 98133. The listed phone number is (206) 542-7406.
What is Highland Vision Clinic, P.S.'s specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Highland Vision Clinic, P.S. enrolled in Medicare?
Yes. Highland Vision Clinic, P.S. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Highland Vision Clinic, P.S.?
According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians, all in Optometry, reassign their Medicare billing to Highland Vision Clinic, P.S.. 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. Of these, 3 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Highland Vision Clinic, P.S. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 50D2104979) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Highland Vision Clinic, P.S. accept?
Health plans from Premera Blue Cross Blue Shield of Alaska list Highland Vision Clinic, P.S. 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 Highland Vision Clinic, P.S. was last updated on September 18, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.
# Highland Vision Clinic, P.s. · NPI 1255406351
Optometrist organization in Shoreline, Washington. Organization record, active in the CMS NPPES registry since November 22, 2006.
## Identity
- **NPI:** 1255406351 (Entity type: Organization)
- **Enumerated:** November 22, 2006
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Organization subpart:** No
- **Authorized official:** John Otto, PRESIDENT
## Practice location
- **Address:** 701 N 182ND ST, SUITE 101, Shoreline, WA 98133-4430
- **Phone:** (206) 542-7406 · **Fax:** (206) 546-2266
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 6 clinicians (Optometry) reassign Medicare billing to this organization (form CMS-855R); 3 practice at this address and 5 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 18, 2012
- **Other identifiers:** Medicare ID-Type Unspecified AB17365 (WA); Medicare UPIN U21767 (WA); Medicare ID-Type Unspecified AB17364 (WA); and 4 more
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1255406351) · Data from the CMS NPPES public registry.