Optima Health Plan

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

OPTIMA HEALTH PLAN

Practice address

701 S Main St
Norfolk, VA 23523-1245

Phone

(757) 388-1830

Fax

(855) 939-7176

NPI assigned

Sep 12, 2022

Organization subpart

No

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

Addresses

Other names 1

• Sentara Community Care Center Doing business as

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Optima Health Plan

  • Family Medicine Physician
  • Norfolk, VA
  • NPI 1396466066

  O20230504003199

  Same enrollment

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

CLIA laboratory certificates

Practitioners 4

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

• Michael George Charles, M.D.

  • Family Medicine Physician
  • Virginia Beach, VA
  • NPI 1013982388
  NPD
• Pamela Cruz Reiser, M.D.

  • Family Medicine Physician
  • Norfolk, VA
  • NPI 1952720690
  NPD
• Deborah Ann Walsh, FNP-BC

  • Family Nurse Practitioner
  • Norfolk, VA
  • NPI 1255574612
  NPD
• Luon Marie Fletcher, LPC

  • Professional Counselor
  • Virginia Beach, VA
  • NPI 1528688652

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1662940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662940800000",
    "number": "1679294201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 S MAIN ST",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235231245",
            "telephone_number": "757-388-1830",
            "fax_number": "855-939-7176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 S MAIN ST",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235231245",
            "telephone_number": "757-388-1830",
            "fax_number": "855-939-7176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMA HEALTH PLAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-12",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "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"
        }
    ]
}

• Open Arms Personal Care, Inc.
• Open Arms Supportive in-Home Services
• Open Bay Consulting
• Leslie Barri Oppleman, MD
• Optima Health Plan
• Optimum Family Transportation LLC
• Optimum Family Treatment Services
• Lawrence Neil Ord, B.A., LPTA
• Kathleen M Organt, R.PH.
• Nancy Arrington Orie, PA - C

• Family Medicine Physician in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Family Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2022; 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.