# OPTIMA MED SPA PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Optima Medical Weight Loss & Wellness
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376352765
- **Authorized official:** STEPHANIE JOHNSON (OWNER)
- **Authorized official phone:** (319) 768-7000

## Contact information

- **Practice address:** 1950 DODGE RD NE, SUITE 106 (INSIDE COLDSTREAM HEALTH), CEDAR RAPIDS, IA 52402
- **Practice address phone:** (319) 768-7000
- **Mailing address:** 3315 WILLIAMS BLVD SW \# 2-112, CEDAR RAPIDS, IA 52404-1478
- **Mailing address phone:** (319) 573-2891

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 133VN1201X | Obesity and Weight Management Nutrition Registered Dietitian | — | NULL | Yes |
| 133VN1201X | Obesity and Weight Management Nutrition Registered Dietitian | — | — | Yes |

## Other

- **Enumeration date:** 12/31/2024
- **Last updated:** 03/09/2025