Active NPI
Michael Joseph Hampton, OD
- Optometrist
- Yukon, OK
National Provider Identifier
1073575072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1109
- Practice address
- 1604 Professional Cir
Yukon, OK 73099-6314 - Phone
- (405) 354-3624
- Fax
- (405) 350-7512
- NPI assigned
- Apr 5, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1109 | OK | Primary |
Addresses
Primary practice location
1604 Professional Cir
Yukon, OK 73099-6314
Mailing address
1604 Professional Cir
Yukon, OK 73099-6314
Phone (405) 354-3624
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 47250 | Other | OK | SPECTERA |
| OK01109 | Other | OK | VISION BENEFITS OF AMERIC |
| OK1109 | Other | OK | EYEMED VISION CARE |
| 731276615-001 | Other | OK | BLUE CROSS BLUE SHIELD |
| 32911 | Other | OK | DAVIS VISION |
| CE813 | Other | OK | BLUELINCS |
| 100743790A | Medicaid | OK | |
| 410034491 | Other | OK | RAILROAD MEDICARE |
| 370009 | Other | OK | NATIONAL VISION ADMINISTR |
| 100762440A | Medicaid | OK | |
| 1031427 | Other | OK | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320364800000",
"number": "1073575072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1604 PROFESSIONAL CIR",
"city": "YUKON",
"state": "OK",
"postal_code": "730996314",
"telephone_number": "405-354-3624",
"fax_number": "405-350-7512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1604 PROFESSIONAL CIR",
"city": "YUKON",
"state": "OK",
"postal_code": "730996314",
"telephone_number": "405-354-3624",
"fax_number": "405-350-7512"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMPTON",
"first_name": "MICHAEL",
"middle_name": "JOSEPH",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-05",
"last_updated": "2011-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OK",
"license": "1109",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SPECTERA",
"identifier": "47250",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VISION BENEFITS OF AMERIC",
"identifier": "OK01109",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EYEMED VISION CARE",
"identifier": "OK1109",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "731276615-001",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DAVIS VISION",
"identifier": "32911",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUELINCS",
"identifier": "CE813",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100743790A",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "410034491",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATIONAL VISION ADMINISTR",
"identifier": "370009",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100762440A",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "1031427",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Yukon, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.