Active NPI
Optimum Health Medical
- Community Health Clinic/Center
- Virginia Beach, VA
National Provider Identifier
1992499172
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Clinic/Center
- Legal business name
- OPTIMUM HEALTH MEDICAL
- Practice address
- 5705 Lynnhaven Pkwy
Virginia Beach, VA 23464-9152 - Phone
- (814) 242-4178
- Fax
- (814) 479-5906
- NPI assigned
- Jun 8, 2023
- 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
- Brad Griesheimer
- Title
- Coo
- Phone
- (814) 242-4178
Specialties & licenses 13
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Pastoral Counselor | 101YP1600X | |||
| Clinical Social Worker | 1041C0700X | |||
| General Practice Dentistry | 1223G0001X | |||
| Vision Therapy Optometrist | 152WV0400X | |||
| Peer Specialist | 175T00000X | |||
| Adult Medicine Physician | 207QA0505X | |||
| Child & Adolescent Psychiatry Physician | 2084P0804X | |||
| Case Management Agency | 251B00000X | |||
| Community Health Clinic/Center | 261QC1500X | Primary | ||
| Clinic Pharmacy | 3336C0002X | |||
| Family Nurse Practitioner | 363LF0000X | |||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X |
Addresses
Primary practice location
5705 Lynnhaven Pkwy
Virginia Beach, VA 23464-9152
Mailing address
3159 Carpenters Park Rd
Davidsville, PA 15928-9223
Phone (814) 242-4178
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686182400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1686182400000",
"number": "1992499172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3159 CARPENTERS PARK RD",
"city": "DAVIDSVILLE",
"state": "PA",
"postal_code": "159289223",
"telephone_number": "814-242-4178",
"fax_number": "814-479-5906"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5705 LYNNHAVEN PKWY",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234649152",
"telephone_number": "814-242-4178",
"fax_number": "814-479-5906"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OPTIMUM HEALTH MEDICAL",
"organizational_subpart": "NO",
"enumeration_date": "2023-06-08",
"last_updated": "2023-06-08",
"certification_date": "2023-06-08",
"status": "A",
"authorized_official_last_name": "GRIESHEIMER",
"authorized_official_first_name": "BRAD",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "814-242-4178"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP1600X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Pastoral",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": false
},
{
"code": "152WV0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist, Vision Therapy",
"state": null,
"license": null,
"primary": false
},
{
"code": "175T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Peer Specialist",
"state": null,
"license": null,
"primary": false
},
{
"code": "207QA0505X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Adult Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": null,
"license": null,
"primary": false
},
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QC1500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Community Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "3336C0002X",
"taxonomy_group": "",
"desc": "Pharmacy, Clinic Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 8, 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.