OPTUM CARE WASHINGTON PLLC NPI 1457403719

NPI Information

NPI: 1457403719
Provider Name: OPTUM CARE WASHINGTON PLLC
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Other Name: OPTUM - SILVER LAKE
CLIA Number: 50D0892583
Address: 1818 121ST ST SE
EVERETT, WA
ZIP 98208
Phone: (425) 357-3300

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NPI Details

OPTUM CARE WASHINGTON PLLC is a durable medical equipment medical supplies in Everett, WA. The provider is 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. OPTUM CARE WASHINGTON PLLC NPI is 1457403719. The provider is registered as an organization entity type.
The provider Other Name Is Optum - Silver Lake.

The provider's business location address is:

1818 121ST ST SE
EVERETT, WA
ZIP 98208-985
Phone: (425) 357-3300

The provider's authorized official is George Go .
The authorized official title is Board President and has the following contact phone number (425) 259-0966.

The CLIA number assigned to this NPI record is 50D0892583 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 1/17/2007 and was last updated on 4/9/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	291U00000X	Clinical Medical Laboratory		50D0892583	WASHINGTON	No
2	332B00000X	Durable Medical Equipment & Medical Supplies				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	33000	OTHER	WASHINGTON	L&I
2	7776503	MEDICAID	WASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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