# OPTIMA HEALTH PLAN

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396466066
- **Authorized official:** DORIS PRINCE (DIRECTOR)
- **Authorized official phone:** (757) 983-5475

## Contact information

- **Practice address:** 824 N MILITARY HWY STE 100, NORFOLK, VA 23502-3652
- **Practice address phone:** (757) 233-4500
- **Mailing address:** PO BOX 746550, ATLANTA, GA 30374-6550
- **Mailing address phone:** (757) 233-4500
- **Mailing address fax:** (757) 252-3235

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |
| 2084B0040X | Behavioral Neurology & Neuropsychiatry Physician | — | NULL | — |
| 2084B0040X | Behavioral Neurology & Neuropsychiatry Physician | — | — | — |

## Other

- **Enumeration date:** 09/09/2022
- **Last updated:** 09/09/2022