Active NPI
Optima Services, PLLC
- Anesthesiology Physician
- Reston, VA
National Provider Identifier
1740568591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 0101230517
- Legal business name
- OPTIMA SERVICES, PLLC
- Practice address
- 11440 Commerce Park Drive
LL-4
Reston, VA 20191-1555 - Phone
- (703) 766-2600
- Fax
- (301) 986-8011
- NPI assigned
- Jul 28, 2011
- Last updated
- Feb 19, 2015
- Organization subpart
- Yes
- Parent organization
- SAFE SEDATION, PLLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John R Walton
- Title
- Ceo
- Phone
- (301) 986-8010
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | NU | ||
| Anesthesiology Physician | 207L00000X | 0101230517 | VA | Primary |
Addresses
Primary practice location
11440 Commerce Park Drive
LL-4
Reston, VA 20191-1555
Mailing address
4330 East West Highway
Suite 1100
Bethesda, MD 20814-4408
Phone (301) 986-8010
National Provider Directory
National Provider Directory- Part of
- Safe Sedation PLLC
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311811200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1424304000000",
"number": "1740568591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4330 EAST WEST HIGHWAY",
"address_2": "SUITE 1100",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208144408",
"telephone_number": "301-986-8010",
"fax_number": "301-986-8011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11440 COMMERCE PARK DRIVE",
"address_2": "LL-4",
"city": "RESTON",
"state": "VA",
"postal_code": "201911555",
"telephone_number": "703-766-2600",
"fax_number": "301-986-8011"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OPTIMA SERVICES, PLLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SAFE SEDATION, PLLC",
"enumeration_date": "2011-07-28",
"last_updated": "2015-02-19",
"status": "A",
"authorized_official_last_name": "WALTON",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "301-986-8010"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "VA",
"license": "0101230517",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Reston, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.