Highland Vision Clinic, P.S.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OD00001604 Issued in WA

Legal business name

HIGHLAND VISION CLINIC, P.S.

Practice address

701 N 182ND St
Suite 101
Shoreline, WA 98133-4430

Phone

(206) 542-7406

Fax

(206) 546-2266

NPI assigned

Nov 22, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

John L Otto, O.D.NPI 1811981418

Title

President

Phone

(206) 542-7406

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Leigh Otto, O.D.

  • Optometrist
  • Shoreline, WA
  • NPI 1811981418
  Medicare reassignment Care Compare group Authorized official
• Andrea Marie Clements, O.D.

  • Optometrist
  • Kirkland, WA
  • NPI 1700040441
  Medicare reassignment Care Compare group NPD
• Mark J Hamilton, OD

  • Optometrist
  • Seattle, WA
  • NPI 1841275369
  Medicare reassignment Care Compare group NPD
• Christopher Bruce Otto, OD

  • Optometrist
  • Shoreline, WA
  • NPI 1164304614
  Medicare reassignment Care Compare group NPD
• Gary Philip Archer, O.D.

  • Optometrist
  • Kirkland, WA
  • NPI 1790864205
  Medicare reassignment NPD
• Patricia Murphy Keech, O.D.

  • Corneal and Contact Management Optometrist
  • Shoreline, WA
  • NPI 1023003381
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347926400000",
    "number": "1255406351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 N 182ND ST",
            "address_2": "SUITE 101",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981334430",
            "telephone_number": "206-542-7406",
            "fax_number": "206-546-2266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 N 182ND ST",
            "address_2": "SUITE 101",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981334430",
            "telephone_number": "206-542-7406",
            "fax_number": "206-546-2266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGHLAND VISION CLINIC, P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2012-09-18",
        "status": "A",
        "authorized_official_last_name": "OTTO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "206-542-7406",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD00001604",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD00001235",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2130037",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sophia Hermann
• Shannah Marie Hewitt, M.D.
• Thyron Heyward, MS
• Desiree Hicks, LMP
• Highland Dental Center Shoreline
• Hiljay Homes Inc
• Jaime Hillman
• Mathew John Hilton
• Richard Glen Hilton, SUDP III
• Jessica Hinckley

• Optometrist in Shoreline, WA
• Providers in Shoreline, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.