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HIGHLAND VISION CLINIC P.S. NPI 1255406351


NPI Information

NPI: 1255406351
Provider Name: HIGHLAND VISION CLINIC, P.S.
Classification: Optometrist - 152W00000X
Entity Type: Organization

CLIA Number: 50D2104979

Address:
701 N 182ND ST
SUITE 101
SHORELINE, WA
ZIP 98133
Phone: (206) 542-7406
Get Directions

HIGHLAND VISION CLINIC, P.S. is an optometrist in Shoreline, WA. The provider is 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. HIGHLAND VISION CLINIC, P.S. NPI is 1255406351. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

701 N 182ND ST
SUITE 101
SHORELINE, WA
ZIP 98133-430
Phone: (206) 542-7406
Fax: (206) 546-2266

The provider's authorized official is John L Otto .
The authorized official title is President and has the following contact phone number (206) 542-7406.

The CLIA number assigned to this NPI record is 50D2104979 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/22/2006 and was last updated on 9/18/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1152W00000XOptometristOD00001235WASHINGTONNo
2152W00000XOptometristOD00001604WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1AB17365MEDICARE ID-TYPE UNSPECIFIEDWASHINGTONPROVIDER-OTTO
2U21767MEDICARE UPINWASHINGTON
3AB17364MEDICARE ID-TYPE UNSPECIFIEDWASHINGTONPROVIDER-CLINIC
40328920003MEDICARE NSCWASHINGTON
5T03077MEDICARE UPINWASHINGTON
6AB17366MEDICARE ID-TYPE UNSPECIFIEDWASHINGTONPROVIDER-KEECH
72130037MEDICAIDWASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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