OPTUM - EDMONDS
NPI 1275074544
Durable Medical Equipment & Medical Supplies in Edmonds, WA

NPI Status: Active since March 20, 2017

Contact Information

21401 72ND AVE W
EDMONDS, WA
ZIP 98026
Phone: (425) 304-1101

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  • Organization
  • Durable Medical Equipment & Medical Supp...
  • Medicare Supplier
  • Accepts Medicare Approved Payment
  • CLIA Number: 50D2119771
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 04-04-2028

About OPTUM - EDMONDS

This page provides the complete NPI Profile along with additional information for Optum - Edmonds, a provider established in Edmonds, Washington operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1275074544 assigned on March 2017. 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. The provider's other name is Optum - Edmonds. The authorized official of this NPI record is Dr. George Go Md (Board President)

NPI
1275074544
Provider Legal Name
OPTUM CARE WASHINGTON PLLC
Other Organization Name
OPTUM - EDMONDS
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
21401 72ND AVE W EDMONDS, WA 98026
Location Phone
(425) 304-1101
Mailing Address
PO BOX 5127 EVERETT, WA 98206
Mailing Phone
(425) 304-8431
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
03-20-2017
Last Update Date
04-09-2024
Code Navigator



Optum - Edmonds is a medicare supplier with PTAN 20651885 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Epoetin or Immunosuppressive Drugs or Infusion Drugs or Nebulizer Drugs or Oral Anticancer Drugs or Oral Antiemetic Drugs or Commodes, Urinals, Bedpans or Heat & Cold Applications or External Infusion Pumps and/or Supplies or Canes and/or Crutches or Orthoses: Custom Fabricated or Orthoses: Prefabricated (Non-Custom Fabricated) or Orthoses: Off-The-Shelf or Breast Prostheses and/or Accessories or Cochlear Implants or Facial Prostheses or Ocular Prostheses or Ostomy Supplies or Urological Supplies or Prosthetic Lenses: Conventional Contact Lenses or Prosthetic Lenses: Prosthetics Cataract Lenses or Enteral Nutrients or Nebulizer Equipment and/or Supplies or Oxygen Equipment and/or Supplies or Surgical Dressings or Diabetic Shoes and Inserts or Diabetic Shoes/Inserts - Custom.

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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.

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

DR. GEORGE GO MD

Authorized Official Title
BOARD PRESIDENT
Authorized Official Phone
(425) 259-0966

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20651885
Accepts Medicare Assignment
YES
Specialities List
Orthotic Personnel.
Provider Type List
AMBULATORY SURGICAL CENTER.
Competitive Bidding
NO

Supplies List

  • Epoetin - Epoetin is a man-made version of human erythropoietin (EPO)
  • Immunosuppressive Drugs - Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
  • Infusion Drugs -
  • Nebulizer Drugs - Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
  • Oral Anticancer Drugs - FDA anticancer drugs
  • Oral Antiemetic Drugs - FDA antiemetic drugs
  • Commodes, Urinals, Bedpans - Raised toilets, Drop-arm commodes, Folding commodes, Plastic urinals, Plastic bedpans, Disposable urinals
  • Heat & Cold Applications - Heat therapy, Cold therapy, Heating pads
  • External Infusion Pumps and/or Supplies - An infusion pump is necessary to safely administer the drug
  • Canes and/or Crutches - Standard Canes, Quad Canes, Offset Canes, Standard Crutches, Forearm Crutches
  • Orthoses: Custom Fabricated - Custom met pads, Custom heel pads, Custom heel spur pads
  • Orthoses: Prefabricated (Non-Custom Fabricated) - Met pads, Heel pads, Heel spur pads
  • Orthoses: Off-The-Shelf - Met pads, Heel pads, Heel spur pads
  • Breast Prostheses and/or Accessories - Prosthetic bra, Surgical bra
  • Cochlear Implants - Cochlear implants are used to treat bilateral pre-or-postlinguistic, sensorineural, moderate-to-profound hearing loss in individuals who demonstrate limited benefit from amplification
  • Facial Prostheses - Nasal prosthesis, Ocular Prosthesis, Upper-facial prosthesis
  • Ocular Prostheses - Prosthetic eyes
  • Ostomy Supplies - Pouches, Paste, Powder, Barrier wipes
  • Urological Supplies - Catheters, Urinary collection devices
  • Prosthetic Lenses: Conventional Contact Lenses - Conventional Contact Lenses
  • Prosthetic Lenses: Prosthetics Cataract Lenses - Cataract Eyeglasses
  • Enteral Nutrients - Enteral formula
  • Nebulizer Equipment and/or Supplies - Nebulizers, Atomizers, Filters
  • Oxygen Equipment and/or Supplies - Portable oxygen systems, Oxygen concentrators, Oxygen contents
  • Surgical Dressings - Gauze, Elastic bandages, Adhesive tape
  • Diabetic Shoes and Inserts - Shoes, Socks, Insoles
  • Diabetic Shoes/Inserts - Custom - Custom fabricated shoes, socks, & insoles

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
50D2119771
Facility Type
Physician Office
Certificate Effective Date
December 03, 2019
Certificate Expiration Date
April 04, 2028
Laboratory Director
DANA C. WOLINSKY
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Optum - Edmonds 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.

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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 1275074544, we treat the final digit (4) 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 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).

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
2
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
5
Unchanged
Pos 5
0
Doubled → 0
Pos 6
7
Unchanged
Pos 7
4
Doubled → 8
Pos 8
5
Unchanged
Pos 9
4
Doubled → 8
Check
4
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 7 → 14 → 5 0 → 0 4 → 8 4 → 8

Step 2: Add all digits plus the NPI constant

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

2 + 2 + 1 + 4 + 5 + 0 + 7 + 8 + 5 + 8 + 24 = 66

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

The next multiple of ten after 66 is 70. The difference is the calculated check digit.

70 - 66 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1275074544.

Other Providers at the Same Location


The following 16 providers are registered at the same or a nearby location.

Orthopaedic Surgery
21401 72ND AVE W
EDMONDS, WA 98026
Registered Nurse (Medical-Surgical)
21401 72ND AVE W
EDMONDS, WA 98026
Orthopaedic Surgery (Hand Surgery)
21401 72ND AVE W
EDMONDS, WA 98026
Orthopaedic Surgery
21401 72ND AVE W
EDMONDS, WA 98026
Physical Therapist
21401 72ND AVE W
EDMONDS, WA 98026
Registered Nurse (Registered Nurse First Assistant)
21401 72ND AVE W
EDMONDS, WA 98026
Registered Nurse (Registered Nurse First Assistant)
21401 72ND AVE W
EDMONDS, WA 98026
Nurse Anesthetist, Certified Registered
21401 72ND AVE W
EDMONDS, WA 98026
Orthopaedic Surgery (Hand Surgery)
21401 72ND AVE W
EDMONDS, WA 98026
Clinic/Center (Ambulatory Surgical)
21401 72ND AVE W
EDMONDS, WA 98026
Nurse Anesthetist, Certified Registered
21401 72ND AVE W
EDMONDS, WA 98026
Anesthesiology
21401 72ND AVE W
EDMONDS, WA 98026
Nurse Anesthetist, Certified Registered
21401 72ND AVE W
EDMONDS, WA 98026
Emergency Medicine
21401 72ND AVE W
EDMONDS, WA 98026
Orthopaedic Surgery
21401 72ND AVE W
EDMONDS, WA 98026
Occupational Therapist
21401 72ND AVE W
EDMONDS, WA 98026

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1275074544, enumerated as an "organization" on March 20, 2017.

The provider is located at 21401 72ND AVE W EDMONDS, WA 98026 and the phone number is (425) 304-1101.

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