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OPTUM - SILVER LAKE
NPI 1457403719
Durable Medical Equipment & Medical Supplies in Everett, WA

Active since January 17, 2007CLIA 50D0892583 · Certificate of Compliance
1818 121ST ST SE, EVERETT, WA 98208(425) 357-3300 Get Directions Write a Review

NPPES record last updated: April 9, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Optum - Silver Lake NPPES

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

OPTUM - SILVER LAKE (NPI 1457403719) is a healthcare organization registered as a durable medical equipment & medical supplies in Everett, Washington and active in the NPI registry since January 2007. 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

NPI1457403719
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameOPTUM CARE WASHINGTON PLLC
Location Address1818 121ST ST SEEverett, WA 98208-5985
Mailing AddressPo Box 5127Everett, WA 98206-5127 · (425) 357-3300
Phone(425) 357-3300
Organization SubpartYesParent: Everett Physicians, Inc. P.s.
Authorized OfficialGeorge GoBoard President · (425) 259-0966
Enumeration DateJanuary 17, 2007
Last NPPES UpdateApril 9, 2024
NPPES CertifiedApril 9, 2024
✔ NPI 1457403719 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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 ListedClinical Medical LaboratoryTaxonomy 291U00000X · License 50D0892583 (WA)
1818 121ST ST SE, Everett, WA 98208
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Other Names 1

Other NameOptum - Silver Lake

Other Identifiers 2

Other33000WA · L&i
Medicaid7776503WA

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 50D0892583

Optum Care Washington, PLLC · Everett, WA
Active · expires Apr 4, 2028
CLIA Number50D0892583
Laboratory TypePhysician Office
Certificate Effective DateOctober 4, 1994
Certificate Expiration DateApril 4, 2028
Laboratory DirectorSara Nelson
Laboratory Phone(425) 317-3460
Laboratory LocationOptum Care Washington, PLLC1818 121st St SE, Everett, WA 98208
CLIA data matches this NPI record on: Address Name
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.

DR. LEAH E HASTINGS D.O.
Pediatrics
1818 121ST ST SE
EVERETT, WA 98208
Snohomish County (425) 357-3300
ARNOLD HENG DO
Family Medicine
1818 121ST ST SE
EVERETT, WA 98208
Snohomish County (425) 357-3305
ALANA BRIANNE BECK
Nurse Practitioner
1818 121ST ST SE
EVERETT, WA 98208
Snohomish County (425) 357-3310
ALAN E CARTER
Family Medicine
1818 121ST ST SE
EVERETT, WA 98208
Snohomish County (425) 357-3304
HARLAN ROUNTREE MD
Family Medicine
1818 121ST ST SE
EVERETT, WA 98208
Snohomish County (425) 357-3305
MICHAEL E CASTRO RT
Radiology (Diagnostic Radiology)
1818 121ST ST SE
EVERETT, WA 98208
Snohomish County (425) 357-3388
DAVID LUBA MD
Pediatrics
1818 121ST ST SE
EVERETT, WA 98208
Snohomish County (425) 357-3302
POLLYANNA BURTON MSN, APRN, FNP-BC
Nurse Practitioner (Family)
1818 121ST ST SE
EVERETT, WA 98208
Snohomish County (253) 573-3044

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 1457403719. It was assigned to this organization in the NPPES registry on January 17, 2007. The provider is also known as Optum - Silver Lake.

Where is Optum Care Washington PLLC located?

Optum Care Washington PLLC is located at 1818 121st St SE, Everett, WA 98208. The listed phone number is (425) 357-3300.

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 hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 50D0892583) 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.