DR. CHRISTOPHER BRUCE OTTO (OD) – Optometrist, NPI 1164304614

DR. CHRISTOPHER BRUCE OTTO (OD) is a healthcare provider. based in Shoreline, Washington. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. OD.OD.70007552 (WA). The NPI Number for DR. CHRISTOPHER BRUCE OTTO (OD) is 1164304614

Main info

Male
1 Year Of Experience
Accepts Medicare Assignment
Name
DR. CHRISTOPHER BRUCE OTTO (OD)
NPI
1164304614
Phone
(206) 542-7406
Address
701 N 182ND ST STE 101
Enumeration Date
24 July 2025
Last Update Date
24 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2065427406
Graduation Year
2025 (1 year ago)
PAC ID
7719489251
Group Practice PAC ID
1355311606
Professional Enrollment ID
I20250904004382
Address ID
WA981334430SH701XXSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

1,098 OPTOMETRY in WA

Provider Addresses for DR. CHRISTOPHER BRUCE OTTO (OD)

  • 701 N 182ND ST STE 101

    SHORELINE, WA 981334430

    Phone: (206) 542-7406

    Fax: (206) 542-2266

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-09-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250904004382IOptometryWATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98133)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1355311606View full group profile
NameSpecialtyState
O P T O M E T R YWA
O P T O M E T R YWA
O P T O M E T R YWA

Reviews

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Frequently asked questions

Where can patients find DR. CHRISTOPHER BRUCE OTTO (OD)'s NPI?
You can confirm DR. CHRISTOPHER BRUCE OTTO (OD) with NPI 1164304614; it appears in the national provider directory.
Is DR. CHRISTOPHER BRUCE OTTO (OD) currently active in the NPI registry?
CMS-published data lists DR. CHRISTOPHER BRUCE OTTO (OD) as an active registrant.
What field does DR. CHRISTOPHER BRUCE OTTO (OD) work in?
You can think of DR. CHRISTOPHER BRUCE OTTO (OD) as practicing within Optometrist. Clinical services aligned with this taxonomy classification.
What location shows for DR. CHRISTOPHER BRUCE OTTO (OD)?
We surface Shoreline, Washington for DR. CHRISTOPHER BRUCE OTTO (OD) based on available NPPES addresses.
What if Shoreline, Washington seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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