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NPI Code Detail

MEDICARE: MICHAEL S HAMPTON O.D.

MEDICARE: MICHAEL S HAMPTON O.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometristOEG001421PA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1306803382
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL S HAMPTON O.D.
Provider Business Mailing Address
First Line : 355 LINCOLN AVE
Second Line :
City : EAST STROUDSBURG
State : PA
Zip : 18301-2814
Country : US
Telephone Number : 215-672-4300
Fax Number : 217-672-9524
Provider Business Practice Location Address
First Line : 355 LINCOLN AVE
Second Line : OPTICAL
City : EAST STROUDSBURG
State : PA
Zip : 18301-2814
Country : US
Telephone Number : 570-424-8728
Fax Number : 570-424-8751
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/26/2006
Last Update Date : 09/04/2015

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Directions to “ MICHAEL S HAMPTON O.D.” Practice Location

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