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
Fax: (206) 546-2266
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811981418 NPPES
Washington MEDICAID 2130037

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