As noted on the popup, NX will attempt to simplify / replace the underlying math of the face, if possible, merge faces if possible, tighten tolerances , identify blend faces etc.
An example of this , some cad systems model cylindrical faces as two 180 degree halves, If there in the imported model are two adjacent faces which both are of the type "cylindrical" , same center axis, same radius, NX can merge these into 1 cylindrical face.
another example, If the optimize face function finds a tangent continuous transition face between two faces, NX will try verify if this is a blend or not, if the cross section shape is close to circular, It can be classified as a blend. ( maybe the math of that face is also changed into a NX Blend.)
Typically you use the optimize face on imported data to make it more "NX native" and thereby easier to edit.
Regards,
Tomas