OPTUM CARE WASHINGTON
NPI 1063892727
Durable Medical Equipment & Medical Supplies in Seattle, WA

NPI Status: Active since June 08, 2015

Contact Information

904 7TH AVE
SEATTLE, WA
ZIP 98104
Phone: (206) 329-1760

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  • Organization
  • Durable Medical Equipment & Medical Supp...
  • CLIA Number: 50D0632049
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 04-04-2028

About OPTUM CARE WASHINGTON

This page provides the complete NPI Profile along with additional information for Optum Care Washington, a provider established in Seattle, Washington operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1063892727 assigned on June 2015. The practitioner's primary taxonomy code is 332B00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Optum Care Washington operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Optum Care Washington. The authorized official of this NPI record is Craig Pepin (Owner/physician)

NPI
1063892727
Provider Legal Name
THE POLYCLINIC PLLC
Other Organization Name
OPTUM CARE WASHINGTON
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
904 7TH AVE SEATTLE, WA 98104
Location Phone
(206) 329-1760
Mailing Address
904 7TH AVE SEATTLE, WA 98104
Mailing Phone
(206) 329-1760
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
06-08-2015
Last Update Date
04-24-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Durable Medical Equipment & Medical Supplies

Taxonomy Code
332B00000X
Type
Suppliers
Taxonomy Description
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1101YM0800XBehavioral Health & Social Service Providers

Counselor
Mental Health

 
2207KA0200XAllopathic & Osteopathic Physicians

Allergy & Immunology
Allergy

 
3207N00000XAllopathic & Osteopathic Physicians

Dermatology

 
4207Q00000XAllopathic & Osteopathic Physicians

Family Medicine

 
5207R00000XAllopathic & Osteopathic Physicians

Internal Medicine

 
6207RC0000XAllopathic & Osteopathic Physicians

Internal Medicine
Cardiovascular Disease

 
7207RE0101XAllopathic & Osteopathic Physicians

Internal Medicine
Endocrinology, Diabetes & Metabolism

 
8207RI0200XAllopathic & Osteopathic Physicians

Internal Medicine
Infectious Disease

 
9207RN0300XAllopathic & Osteopathic Physicians

Internal Medicine
Nephrology

 
10207V00000XAllopathic & Osteopathic Physicians

Obstetrics & Gynecology

 
11207Y00000XAllopathic & Osteopathic Physicians

Otolaryngology

 
122084N0400XAllopathic & Osteopathic Physicians

Psychiatry & Neurology
Neurology

 
13208600000XAllopathic & Osteopathic Physicians

Surgery

 
142086S0105XAllopathic & Osteopathic Physicians

Surgery
Surgery of the Hand

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

CRAIG PEPIN

Authorized Official Title
OWNER/PHYSICIAN
Authorized Official Phone
(206) 860-5414

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
50D0632049
Facility Type
Physician Office
Certificate Effective Date
January 18, 2020
Certificate Expiration Date
April 04, 2028
Laboratory Director
JOHN STREIDL
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Optum Care Washington after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

Reviews for OPTUM CARE WASHINGTON

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1063892727, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
3
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
9
Unchanged
Pos 7
2
Doubled → 4
Pos 8
7
Unchanged
Pos 9
2
Doubled → 4
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 8 → 16 → 7 2 → 4 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 2 + 3 + 1 + 6 + 9 + 4 + 7 + 4 + 24 = 63

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1063892727.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Internal Medicine (Pulmonary Disease)
904 7TH AVE
SEATTLE, WA 98104
Psychiatry & Neurology (Neurology)
904 7TH AVE
SEATTLE, WA 98104
Urology
904 7TH AVE
SEATTLE, WA 98104
Internal Medicine (Cardiovascular Disease)
904 7TH AVE
SEATTLE, WA 98104
Obstetrics & Gynecology
904 7TH AVE
SEATTLE, WA 98104
Ophthalmology
904 7TH AVE
SEATTLE, WA 98104
Otolaryngology
904 7TH AVE
SEATTLE, WA 98104
Internal Medicine
904 7TH AVE
SEATTLE, WA 98104
Otolaryngology
904 7TH AVE
SEATTLE, WA 98104
Orthopaedic Surgery
904 7TH AVE
SEATTLE, WA 98104
Internal Medicine
904 7TH AVE
SEATTLE, WA 98104
Audiologist
904 7TH AVE
SEATTLE, WA 98104
Internal Medicine
904 7TH AVE
SEATTLE, WA 98104
Dermatology
904 7TH AVE
SEATTLE, WA 98104
Internal Medicine (Hematology & Oncology)
904 7TH AVE
SEATTLE, WA 98104
Internal Medicine
904 7TH AVE
SEATTLE, WA 98104
Internal Medicine
904 7TH AVE
SEATTLE, WA 98104
Otolaryngology
904 7TH AVE
SEATTLE, WA 98104
Pediatrics
904 7TH AVE
SEATTLE, WA 98104
Internal Medicine (Allergy & Immunology)
904 7TH AVE
SEATTLE, WA 98104

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063892727, enumerated as an "organization" on June 08, 2015.

The provider is located at 904 7TH AVE SEATTLE, WA 98104 and the phone number is (206) 329-1760.

Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.