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

Active since March 20, 2017CLIA 50D2119771 · Certificate of Compliance
21401 72ND AVE W, EDMONDS, WA 98026(425) 304-1101 Get Directions Write a Review

NPPES record last updated: April 9, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 9, 2024, Mar 20, 2017 (2 updates tracked since 2017).

About Optum - Edmonds NPPES

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

OPTUM - EDMONDS (NPI 1275074544) is a healthcare organization registered as a durable medical equipment & medical supplies in Edmonds, Washington and active in the NPI registry since March 2017. The organization holds a CLIA Certificate of Compliance certificate valid through April 4, 2028 and lists George Go, Board President, as its authorized official.

NPPES Registry Identity

NPI1275074544
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameOPTUM CARE WASHINGTON PLLC
Location Address21401 72ND AVE WEdmonds, WA 98026-7702
Mailing AddressPo Box 5127Everett, WA 98206-5127 · (425) 304-8431
Phone(425) 304-1101
Organization SubpartYesParent: Everett Physicians, Inc. P.s.
Authorized OfficialGeorge GoBoard President · (425) 259-0966
Enumeration DateMarch 20, 2017
Last NPPES UpdateApril 9, 20242 updates tracked since enumeration
NPPES CertifiedApril 9, 2024
✔ NPI 1275074544 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
21401 72ND AVE W, Edmonds, WA 98026
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Other Names 1

Other NameOptum - Edmonds

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 50D2119771

Optum Care Washington, PLLC · Edmonds, WA
Active · expires Apr 4, 2028
CLIA Number50D2119771
Laboratory TypePhysician Office
Certificate Effective DateDecember 3, 2019
Certificate Expiration DateApril 4, 2028
Laboratory DirectorDana C. Wolinsky
Laboratory Phone(425) 304-1101
Laboratory LocationOptum Care Washington, PLLC21401 72nd Ave W, Edmonds, WA 98026
CLIA data matches this NPI record on: Address 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.

Medical Equipment Supplier Medicare DMEPOS 27

Medicare supplier enrollment and the product categories Optum - Edmonds Surgery Center carries, from the Medicare DMEPOS supplier directory.

Optum - Edmonds Surgery Center

DMEPOS supplier · Edmonds, WAOperated by Optum Care Washington PLLC
✔

Accepts Medicare assignment

Optum - Edmonds Surgery Center agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20651885
Medicare Participant SinceJanuary 1, 1998
Supplier Location21401 72nd Ave WEdmonds, WA 98026
Phone(425) 304-1101
Provider TypeAmbulatory Surgical Center
Supplier Specialties
Orthotic Personnel

Medicare Product Categories

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
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 17

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

MRS. MEGHAN E SUELTENFUSS MSPT
Physical Therapist
21401 72ND AVE W
EDMONDS, WA 98026
Snohomish County (425) 412-1877
DR. ANNE PESENSON MD
Internal Medicine (Nephrology)
21401 72ND AVE W
EDMONDS, WA 98026
Snohomish County (206) 860-5575
SARAH LEE CRNA
Nurse Anesthetist, Certified Registered
21401 72ND AVE W
EDMONDS, WA 98026
Snohomish County (425) 259-0966
ANDREW JAMES PASTOR M.D.
Orthopaedic Surgery
21401 72ND AVE W
EDMONDS, WA 98026
Snohomish County (425) 412-1875
MRS. LAURIE S WALTERS OTR/L, CHT
Occupational Therapist
21401 72ND AVE W
EDMONDS, WA 98026
Snohomish County (425) 412-1874
MR. JEFFRY MINARD M.D.
Anesthesiology
21401 72ND AVE W
EDMONDS, WA 98026
Snohomish County (425) 259-0966
OPTUM CARE WASHINGTON PLLC
Clinic/Center (Ambulatory Surgical)
21401 72ND AVE W
EDMONDS, WA 98026
Snohomish County (425) 258-3900
KATHRYN PERKINSON
Registered Nurse (Registered Nurse First Assistant)
21401 72ND AVE W
EDMONDS, WA 98026
Snohomish County (425) 304-1101

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 Optum Care Washington PLLC's NPI number?

The NPI number for Optum Care Washington PLLC is 1275074544. It was assigned to this organization in the NPPES registry on March 20, 2017. The provider is also known as Optum - Edmonds.

Where is Optum Care Washington PLLC located?

Optum Care Washington PLLC is located at 21401 72nd Ave W, Edmonds, WA 98026. The listed phone number is (425) 304-1101.

What is Optum Care Washington PLLC's specialty?

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

Does Optum Care Washington PLLC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Optum - Edmonds Surgery Center accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Optum Care Washington PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 50D2119771) 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 Optum Care Washington PLLC was last updated on April 9, 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.