Active NPI
Optima Health Plan
- Family Medicine Physician
- Virginia Beach, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Internal Medicine Physician | 207R00000X | |||
| Pediatrics Physician | 208000000X | |||
| Behavioral Neurology & Neuropsychiatry Physician | 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
National Provider Directory
National Provider Directory- Tax ID family
- Optima Health Plan
Other organizations with this tax ID 5
Organizations that report the same tax identification number in the National Provider Directory.
-
- Family Medicine Physician
- Richmond, VA
- NPI 1053170167
-
- Family Medicine Physician
- Harrisonburg, VA
- NPI 1316652696
-
- Family Medicine Physician
- Norfolk, VA
- NPI 1396466066
-
- Family Medicine Physician
- Glen Allen, VA
- NPI 1437864709
-
- Family Medicine Physician
- Rockingham, VA
- NPI 1821793381
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.