Organization Active NPI

Optima Services, PLLC

  • Anesthesiology Physician
  • Reston, VA
National Provider Identifier
1740568591
Registry record updated Feb 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
0101230517 Issued in VA
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, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
SAFE SEDATION, PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 19, 2015

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)CodeLicenseStatePrimary
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.

Verify at the official NPI Registry.