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

Active since June 08, 2015CLIA 50D0632049 · Certificate of Compliance
904 7TH AVE, SEATTLE, WA 98104(206) 329-1760 Get Directions Write a Review

NPPES record last updated: April 24, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Optum Care Washington NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OPTUM CARE WASHINGTON (NPI 1063892727) is a healthcare organization registered as a durable medical equipment & medical supplies in Seattle, Washington and active in the NPI registry since June 2015. The organization holds a CLIA Certificate of Compliance certificate valid through April 4, 2028 and lists Craig Pepin, Owner/physician, as its authorized official.

NPPES Registry Identity

NPI1063892727
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameTHE POLYCLINIC PLLC
Location Address904 7TH AVESeattle, WA 98104-1132
Mailing Address904 7th AveSeattle, WA 98104-1132 · (206) 329-1760
Organization SubpartYesParent: The Polyclinc
Authorized OfficialCraig PepinOwner/physician · (206) 860-5414
Enumeration DateJune 8, 2015
Last NPPES UpdateApril 24, 2024
NPPES CertifiedApril 24, 2024
NPI 1063892727 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 15

Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
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.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedAllergy & Immunology · AllergyTaxonomy 207KA0200X
Also ListedDermatologyTaxonomy 207N00000X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X
Also ListedInternal Medicine · Infectious DiseaseTaxonomy 207RI0200X
Also ListedInternal Medicine · NephrologyTaxonomy 207RN0300X
Also ListedObstetrics & GynecologyTaxonomy 207V00000X
Also ListedOtolaryngologyTaxonomy 207Y00000X
Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X
Also ListedSurgeryTaxonomy 208600000X
Also ListedSurgery · Surgery of the HandTaxonomy 2086S0105X
904 7TH AVE, Seattle, WA 98104

Other Names 1

Doing Business AsOptum Care Washington

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 50D0632049

The Polyclinic A Professional Corporation · Seattle, WA
Active · expires Apr 4, 2028
CLIA Number50D0632049
Laboratory TypePhysician Office
Certificate Effective DateJanuary 18, 2020
Certificate Expiration DateApril 4, 2028
Laboratory DirectorDr. David M. Wang
Laboratory Phone(206) 329-1760
Laboratory LocationThe Polyclinic A Professional Corporation1448 NW Market St Ste 200, Seattle, WA 98107
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dermatology
904 7TH AVE
SEATTLE, WA 98104
Internal Medicine
904 7TH AVE
SEATTLE, WA 98104
Physician Assistant (Surgical)
904 7TH AVE
SEATTLE, WA 98104
Internal Medicine
904 7TH AVE
SEATTLE, WA 98104
Otolaryngology
904 7TH AVE
SEATTLE, WA 98104
Physical Medicine & Rehabilitation (Pain Medicine)
904 7TH AVE
SEATTLE, WA 98104
Internal Medicine
904 7TH AVE
SEATTLE, WA 98104
Pediatrics
904 7TH AVE
SEATTLE, WA 98104

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is The Polyclinic PLLC's NPI number?

The NPI number for The Polyclinic PLLC is 1063892727. It was assigned to this organization in the NPPES registry on June 8, 2015. The provider is doing business as Optum Care Washington.

Where is The Polyclinic PLLC located?

The Polyclinic PLLC is located at 904 7th Ave, Seattle, WA 98104. The listed phone number is (206) 329-1760.

What is The Polyclinic PLLC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Does The Polyclinic PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 50D0632049) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for The Polyclinic PLLC was last updated on April 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.