HIGHLAND VISION CLINIC, P.S. – Optometrist, NPI 1255406351

HIGHLAND VISION CLINIC, P.S. is a healthcare provider. based in Shoreline, Washington. specializing in Optometrist. The organization holds a License No. OD00001235 (WA). The NPI Number for HIGHLAND VISION CLINIC, P.S. is 1255406351

Main info

Organization
Name
HIGHLAND VISION CLINIC, P.S.
NPI
1255406351
Phone
(206) 542-7406
Address
701 N 182ND ST
Authorized Official
JOHN L OTTO PRESIDENT O.D.
Enumeration Date
22 November 2006
Last Update Date
18 September 2012
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:19State licenses:2Digital endpointsOther names

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Provider Addresses for HIGHLAND VISION CLINIC, P.S.

  • 701, North 182nd Street, Richmond Highlands, Shoreline, King County, Washington, 98133, United States

    SUITE 101

    SHORELINE, WA 981334430

    Phone: (206) 542-7406

    Fax: (206) 546-2266

    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: 2004-07-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2025-09-30 (252 days ago).

Enrollment records

1

Earliest due date

2025-09-30

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
O20040726001473OClinic/Group PracticeWA2025-09-30

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

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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Reviews

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Frequently asked questions

Does HIGHLAND VISION CLINIC, P.S. share an NPI with anyone else?
NPI numbers are unique to each provider or organization — HIGHLAND VISION CLINIC, P.S. uses 1255406351.
Is HIGHLAND VISION CLINIC, P.S. listed as active for patients and plans?
The listing shows HIGHLAND VISION CLINIC, P.S. as active in the NPI system.
What is HIGHLAND VISION CLINIC, P.S.'s primary classification?
Optometrist is the headline specialty for HIGHLAND VISION CLINIC, P.S. here. Clinical services aligned with this taxonomy classification.
Where should I expect HIGHLAND VISION CLINIC, P.S. on a map?
Expect Shoreline, Washington as a primary anchor for HIGHLAND VISION CLINIC, P.S. unless the record lists multiple sites.
Is the information about HIGHLAND VISION CLINIC, P.S. up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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