Otto, John Leigh
Otto, John Leigh is an individual health care provider with primary practice located at 701 N 182Nd St Suite 101, Shoreline WA 98133-4430. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Otto, John Leigh can be contacted via phone (206) 542-7406.Contact Information
Primary practice address
701 N 182Nd St Suite 101
Shoreline WA 98133-4430
Phone: (206) 542-7406
Fax: (206) 546-2266
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Optometrist | 152W00000X | 1604 | Washington |
Profile Details
NPI number | 1811981418 |
---|---|
LBN Legal business name | Otto, John Leigh |
Credentials | Doctor of Optometry (OD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 9th, 2005 |
Last updated | Sep 18th, 2012 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1811981418 | NPPES |
Washington | MEDICAID | 2130037 |
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