Individual provider Active NPI

Michael S Hampton, O.D.

  • Optometrist
  • East Stroudsburg, PA
National Provider Identifier
1306803382
Registry record updated Sep 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG001421 Issued in PA
Practice address
355 Lincoln Ave
Optical
East Stroudsburg, PA 18301-2814
Phone
(570) 424-8728
Fax
(570) 424-8751
NPI assigned
Apr 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG001421 PA Primary

Addresses

Primary practice location

355 Lincoln Ave
Optical
East Stroudsburg, PA 18301-2814

Mailing address

355 Lincoln Ave
East Stroudsburg, PA 18301-2814
Phone (215) 672-4300

Other identifiers 1

IdentifierTypeStateIssuer
1009153190002MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040629000408 PA Practitioner - Optometry 6103802210 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rinehart Family Eye Care PCGroup PAC ID 4880810266, 4 clinicians

Practice addresses (Care Compare)

7801 Glenlivet W Dr
Suite D
Fogelsville, PA 18051-1738
Phone (610) 841-4944

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
642NHMDMental Health Counselor
OEG001421PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Rinehart Family Eye Care PC Optometrist CurrentSince Jan 4, 2021 Accepting new patients
Luxottica of America Inc Past Accepting new patients

Locations

7801 Glenlivet West Dr
Ste D
Fogelsville, PA 18051
Phone (610) 841-4944

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441324800000",
    "number": "1306803382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 LINCOLN AVE",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183012814",
            "telephone_number": "215-672-4300",
            "fax_number": "217-672-9524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 LINCOLN AVE",
            "address_2": "OPTICAL",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183012814",
            "telephone_number": "570-424-8728",
            "fax_number": "570-424-8751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMPTON",
        "first_name": "MICHAEL",
        "middle_name": "S",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2015-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001421",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1009153190002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Stroudsburg, PA

Sources for this page

Verify at the official NPI Registry.