Organization Active NPI

Hampstead Optometry PA

  • Optometrist
  • Hampstead, NC
National Provider Identifier
1679032288
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
HAMPSTEAD OPTOMETRY PA
Practice address
16747 US Highway 17 N Ste 140
Hampstead, NC 28443-3695
Phone
(856) 495-0031
NPI assigned
Mar 14, 2019
Last updated
Jun 11, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Authorized official

Name
Lori Farabaugh, ODNPI 1770685372
Title
President
Phone
(856) 495-0031

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

16747 US Highway 17 N Ste 140
Hampstead, NC 28443-3695

Mailing address

101 Drake Rd
Hampstead, NC 28443-2550
Phone (856) 495-0031

Other identifiers 1

IdentifierTypeStateIssuer
1770685372MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Hampstead Optometry2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1552521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1679032288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 DRAKE RD",
            "city": "HAMPSTEAD",
            "state": "NC",
            "postal_code": "284432550",
            "telephone_number": "856-495-0031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16747 US HIGHWAY 17 N STE 140",
            "city": "HAMPSTEAD",
            "state": "NC",
            "postal_code": "284433695",
            "telephone_number": "856-495-0031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMPSTEAD OPTOMETRY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-14",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "FARABAUGH",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "856-495-0031",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1770685372",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampstead, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.