Optum Care Washington PLLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

OPTUM CARE WASHINGTON PLLC

Practice address

1262 State Ave
Marysville, WA 98270-3658

Phone

(425) 651-7540

NPI assigned

Jun 17, 2008

Last updated

Apr 11, 2024By the provider in NPPES

Organization subpart

Yes

Parent organization

EVERETT PHYSICIANS, INC. P.S.As reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. George Go, MD

Title

Board President

Phone

(425) 259-0966

Specialties & licenses 1

Addresses

Other names 1

• Optum - Marysville Optical Other name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1213660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712793600000",
    "number": "1821258401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5127",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982065127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1262 STATE AVE",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982703658",
            "telephone_number": "425-651-7540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTUM CARE WASHINGTON PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EVERETT PHYSICIANS, INC. P.S.",
        "enumeration_date": "2008-06-17",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A",
        "authorized_official_last_name": "GO",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "BOARD PRESIDENT",
        "authorized_official_telephone_number": "425-259-0966",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Optum - Marysville Optical",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Serban A Olaru, DMD
• Abisola Onashile
• Optum Care Washington PLLC
• Optum Care Washington PLLC
• Optum Care Washington PLLC (Optum - Marysville)
• Optum Care Washington PLLC
• Optum Care Washington PLLC
• Nadine Ostergaard
• Heather Ostmann, M.D.
• Leatha Anne Owens-Harris

• Durable Medical Equipment & Medical Supplies in Marysville, WA
• Providers in Marysville, WA by specialty
• Durable Medical Equipment & Medical Supplies in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.