Organization Active NPI

Optimal Primary Care LLC

  • Family Nurse Practitioner
  • Macungie, PA
National Provider Identifier
1245064351
Registry record updated Jun 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
OPTIMAL PRIMARY CARE LLC
Practice address
6408 Mulberry LN
Macungie, PA 18062-9310
Phone
(240) 492-9277
NPI assigned
Aug 29, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2025

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

Authorized official

Name
Virginie TokhaNPI 1821567835
Title
Manager
Phone
(240) 492-9277

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X Primary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X

Addresses

Primary practice location

6408 Mulberry LN
Macungie, PA 18062-9310

Mailing address

51 W End TRL Unit 189
Macungie, PA 18062-5005
Phone (610) 864-6947

Other practice location 1

4690 Millennium Dr Fl 3
Belcamp, MD 21017-1523
Phone (240) 492-9277

Other names 1

  • Optimal Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20241011002098 PA Part B Supplier - Clinic/Group Practice 2264964501 Receives reassigned benefits from 3 practitioners
Practice locations: Macungie, PA
O20251001004657 MD Part B Supplier - Clinic/Group Practice 2264964501 Receives reassigned benefits from 1 practitioner
Practice locations: Belcamp, MD

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D2313069Optimal Primary Care LLC6408 Mulberry Lane, Macungie, PA 18062Certificate of waiverOct 23, 2026

National Provider Directory

National Provider Directory

Locations

51 W End Trl
Unit 189
Macungie, PA 18062

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1724889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749600000000",
    "number": "1245064351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 W END TRL UNIT 189",
            "city": "MACUNGIE",
            "state": "PA",
            "postal_code": "180625005",
            "telephone_number": "610-864-6947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6408 MULBERRY LN",
            "city": "MACUNGIE",
            "state": "PA",
            "postal_code": "180629310",
            "telephone_number": "240-492-9277"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4690 Millennium Dr Fl 3",
            "address_purpose": "LOCATION",
            "city": "Belcamp",
            "state": "MD",
            "postal_code": "210171523",
            "country_code": "US",
            "telephone_number": "240-492-9277",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OPTIMAL PRIMARY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-29",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A",
        "authorized_official_last_name": "TOKHA",
        "authorized_official_first_name": "VIRGINIE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "240-492-9277"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Optimal",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Optimal",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Macungie, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.