John Leigh Otto, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1604 Issued in WA

Practice address

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

Phone

(206) 542-7406

Fax

(206) 546-2266

NPI assigned

Sep 9, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Highland Vision Clinic P SGroup PAC ID 1355311606, 4 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Highland Vision Clinic, P.S.

  • Optometrist
  • Shoreline, WA
  • NPI 1255406351
  Medicare reassignment Care Compare group Authorized official

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

{
    "created_epoch": "1126224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347926400000",
    "number": "1811981418",
    "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": {
        "last_name": "OTTO",
        "first_name": "JOHN",
        "middle_name": "LEIGH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-09",
        "last_updated": "2012-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "1604",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2130037",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Optum Care Washington PLLC
• Jacqueline Orozco Torres
• Catherine Susan Osborne, PT
• Leonor C Osorio, MEDIDCAL INTERPRETER
• Christopher Bruce Otto, OD
• Shawn Overby
• Pacific-Fire Medical Services PLLC
• Bianca Pacifici
• Lisa D Pacot, LMP
• Amber Padron, RBT/CBT

• 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; Order and Referring.
• 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.