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HIGHLAND VISION CLINIC, P.S.
NPI 1255406351
Optometrist in Shoreline, WA

Active since November 22, 2006CLIA 50D2104979 · Waiver
701 N 182ND ST, SUITE 101, SHORELINE, WA 98133(206) 542-7406(206) 546-2266 Get Directions Write a Review

NPPES record last updated: September 18, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1255406351
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameHIGHLAND VISION CLINIC, P.S.
Location Address701 N 182ND ST, SUITE 101Shoreline, WA 98133-4430
Mailing Address701 N 182nd St, Suite 101Shoreline, WA 98133-4430 · (206) 542-7406 · Fax (206) 546-2266
Phone(206) 542-7406
Fax(206) 546-2266
Organization SubpartNo
Authorized OfficialJohn L OttoPresident · (206) 542-7406
Enumeration DateNovember 22, 2006
Last NPPES UpdateSeptember 18, 2012
✔ NPI 1255406351 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses✔ Licensed in WA · OD00001604✔ Licensed in WA · OD00001235
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
701 N 182ND ST, Shoreline, WA 98133
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Other Identifiers 7

Medicare ID-Type UnspecifiedAB17365WA · Provider-otto
Medicare UPINU21767WA
Medicare ID-Type UnspecifiedAB17364WA · Provider-clinic
Medicare NSC0328920003WA
Medicare UPINT03077WA
Medicare ID-Type UnspecifiedAB17366WA · Provider-keech
Medicaid2130037WA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

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, WA
Active · expires Apr 4, 2028
CLIA Number50D2104979
Laboratory TypePhysician Office
Certificate Effective DateNovember 16, 2015
Certificate Expiration DateApril 4, 2028
Laboratory DirectorJohn L. Otto
Laboratory Phone(206) 542-7406
Laboratory LocationHighland Vision Clinic701 N 182nd St Ste 101, Shoreline, WA 98133
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. PATRICIA MURPHY KEECH O.D.
Optometrist (Corneal and Contact Management)
701 N 182ND ST, SUITE 101
SHORELINE, WA 98133
King County (206) 542-7406
DR. K H STORER D.D.S., M.A.G.D.
Dentist (General Practice)
701 N 182ND ST, SUITE #103
SHORELINE, WA 98133
King County (206) 546-4109
DR. J SCOTT HENRICKSEN DDS
Dentist
701 N 182ND ST, SUITE 102
SHORELINE, WA 98133
King County (206) 542-7600
DR. JOHN LEIGH OTTO O.D.
Optometrist
701 N 182ND ST, SUITE 101
SHORELINE, WA 98133
King County (206) 542-7406
JAYNA SEKIJIMA DDS
Dentist
701 N 182ND ST, #102
SHORELINE, WA 98133
King County (206) 542-7600

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 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.

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 13 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.