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OPTUM - SMOKEY POINT
NPI 1891058236
Durable Medical Equipment & Medical Supplies in Marysville, WA

Active since June 20, 2012CLIA Certified · 2 labs
2901 174TH ST NE, MARYSVILLE, WA 98271(360) 454-1900(425) 258-3910 Get Directions Write a Review

NPPES record last updated: April 11, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Optum - Smokey Point NPPES

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

OPTUM - SMOKEY POINT (NPI 1891058236) is a healthcare organization registered as a durable medical equipment & medical supplies in Marysville, Washington and active in the NPI registry since June 2012. The organization holds 2 active CLIA laboratory certificates and lists George Go, Board President, as its authorized official.

NPPES Registry Identity

NPI1891058236
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameOPTUM CARE WASHINGTON PLLC
Location Address2901 174TH ST NEMarysville, WA 98271-4743
Mailing AddressPo Box 5127Everett, WA 98206-5127 · (360) 454-1900 · Fax (425) 258-3910
Phone(360) 454-1900
Fax(425) 258-3910
Organization SubpartYesParent: Everett Physicians, Inc. P.s.
Authorized OfficialGeorge GoBoard President · (425) 259-0966
Enumeration DateJune 20, 2012
Last NPPES UpdateApril 11, 2024
NPPES CertifiedApril 11, 2024
✔ NPI 1891058236 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 50D2045942 (WA)
2901 174TH ST NE, Marysville, WA 98271
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Other Names 1

Other NameOptum - Smokey Point

CLIA Laboratory Certificates CMS CLIA 2

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 50D2045942

Optum Care Washington, PLLC · Marysville, WA
Active · expires Apr 4, 2028
CLIA Number50D2045942
Laboratory TypePhysician Office
Certificate Effective DateAugust 22, 2012
Certificate Expiration DateApril 4, 2028
Laboratory DirectorAndrea R. Drown
Laboratory Phone(360) 454-1983
Laboratory LocationOptum Care Washington, PLLC2901 174th St NE, Marysville, WA 98271
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.

Certificate of Compliance 50D2124052

Optum Care Washington, PLLC · Marysville, WA
Active · expires Apr 4, 2028
CLIA Number50D2124052
Laboratory TypePhysician Office
Certificate Effective DateJanuary 9, 2017
Certificate Expiration DateApril 4, 2028
Laboratory DirectorAmy Cheng
Laboratory Phone(360) 454-1917
Laboratory LocationOptum Care Washington, PLLC2901 174th St NE, Marysville, WA 98271
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.

RYAN PATRICK HASKELL
Physical Therapist
2901 174TH ST NE
MARYSVILLE, WA 98271
Snohomish County (360) 454-1945
DURDANA NAZ IQBAL
Pharmacist (Ambulatory Care)
2901 174TH ST NE
MARYSVILLE, WA 98271
Snohomish County (360) 454-1953
OSCAR DAVID ESCALANTE MC 60452829
Counselor (Mental Health)
2901 174TH ST NE
MARYSVILLE, WA 98271
Snohomish County (360) 454-1900
KAREN A MAYNARD PT
Physical Therapist
2901 174TH ST NE
MARYSVILLE, WA 98271
Snohomish County (360) 454-1945
CHRISTOPHER BOLANDER D.O.
Family Medicine
2901 174TH ST NE
MARYSVILLE, WA 98271
Snohomish County (360) 454-1900
DR. AMY S CHENG MD
Dermatology (Clinical & Laboratory Dermatological Immunology)
2901 174TH ST NE
MARYSVILLE, WA 98271
Snohomish County (360) 454-1917
DR. SARAH EVA BERGMAN LEWIS M.D.
Pediatrics
2901 174TH ST NE
MARYSVILLE, WA 98271
Snohomish County (360) 454-1900
ASHLEY LEE DO
Family Medicine (Sports Medicine)
2901 174TH ST NE
MARYSVILLE, WA 98271
Snohomish County (360) 454-1900

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 1891058236. It was assigned to this organization in the NPPES registry on June 20, 2012. The provider is also known as Optum - Smokey Point.

Where is Optum Care Washington PLLC located?

Optum Care Washington PLLC is located at 2901 174th St NE, Marysville, WA 98271. The listed phone number is (360) 454-1900.

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 CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Optum Care Washington PLLC was last updated on April 11, 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.