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Organization
OPTIMUM HEALTH MEDICAL
Active
Organization
OPTIMUM HEALTH MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRAD GRIESHEIMER (COO)
(814) 242-4178
Entity
Organization
Contact information
Practice address
5705 LYNNHAVEN PKWY, VIRGINIA BEACH, VA 23464-9152
(814) 242-4178
(814) 479-5906
Mailing address
3159 CARPENTERS PARK RD, DAVIDSVILLE, PA 15928-9223
(814) 242-4178
(814) 479-5906
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
101YP1600X
Pastoral Counselor
—
NULL
101YP1600X
Pastoral Counselor
—
—
1041C0700X
Clinical Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
—
1223G0001X
General Practice Dentistry
—
NULL
1223G0001X
General Practice Dentistry
—
—
152WV0400X
Vision Therapy Optometrist
—
NULL
152WV0400X
Vision Therapy Optometrist
—
—
175T00000X
Peer Specialist
—
NULL
175T00000X
Peer Specialist
—
—
207QA0505X
Adult Medicine Physician
—
NULL
207QA0505X
Adult Medicine Physician
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
NULL
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
251B00000X
Case Management Agency
—
NULL
261QC1500X
Community Health Clinic/Center
Primary
—
NULL
3336C0002X
Clinic Pharmacy
—
NULL
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
06/08/2023
Last updated
06/08/2023
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