Organization Active NPI

Optima Health Plan

  • Family Medicine Physician
  • Virginia Beach, VA
National Provider Identifier
1083336150
Registry record updated Jun 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
OPTIMA HEALTH PLAN
Practice address
800 Independence Blvd
Virginia Beach, VA 23455-6011
Phone
(757) 388-1830
Fax
(855) 939-7172
NPI assigned
Sep 15, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2023

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

Authorized official

Name
Doris Prince
Title
Director
Phone
(757) 983-5475

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X
Behavioral Neurology & Neuropsychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084B0040X

Addresses

Primary practice location

800 Independence Blvd
Virginia Beach, VA 23455-6011

Mailing address

800 Independence Blvd
Virginia Beach, VA 23455-6011
Phone (757) 388-1830

Other practice location 1

2620 Southern Blvd
Virginia Beach, VA 23452-7414
Phone (757) 388-1830

Other practice location 2

949 Chimney Hill Pkwy, Ste 101
Virginia Beach, VA 23462
Phone (757) 388-1830

Other practice location 3

413 E Brambleton Ave
Norfolk, VA 23510-2902
Phone (757) 388-1830

Other practice location 4

50 Maple Ave
Newport News, VA 23607-6056
Phone (757) 388-1830

Other practice location 5

620 Baker Rd
Virginia Beach, VA 23462-1623
Phone (757) 388-1830

Other names 1

  • Sentara Community Care Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Optima Health Plan6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

50 Maple Ave
Newport News, VA 23607
Phone (757) 388-1830

413 E Brambleton Ave
Norfolk, VA 23510
Phone (757) 388-1830

620 Baker Rd
Virginia Beach, VA 23462
Phone (757) 388-1830

2620 Southern Blvd
Virginia Beach, VA 23452
Phone (757) 388-1830

NPI Registry JSON

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

{
    "created_epoch": "1663200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687824000000",
    "number": "1083336150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 INDEPENDENCE BLVD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234556011",
            "telephone_number": "757-388-1830",
            "fax_number": "855-939-7172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 INDEPENDENCE BLVD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234556011",
            "telephone_number": "757-388-1830",
            "fax_number": "855-939-7172"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2620 Southern Blvd",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234527414",
            "country_code": "US",
            "telephone_number": "757-388-1830",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "949 Chimney Hill Pkwy, Ste 101",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "23462",
            "country_code": "US",
            "telephone_number": "757-388-1830",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "413 E Brambleton Ave",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "235102902",
            "country_code": "US",
            "telephone_number": "757-388-1830",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "50 Maple Ave",
            "address_purpose": "LOCATION",
            "city": "Newport News",
            "state": "VA",
            "postal_code": "236076056",
            "country_code": "US",
            "telephone_number": "757-388-1830",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "620 Baker Rd",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234621623",
            "country_code": "US",
            "telephone_number": "757-388-1830",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OPTIMA HEALTH PLAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-15",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A",
        "authorized_official_last_name": "PRINCE",
        "authorized_official_first_name": "DORIS",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "757-983-5475"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084B0040X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sentara Community Care Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sentara Community Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2023; 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.