Keesha K. Hampton, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

GAOPT002236 Issued in GA

Practice address

3615 Charles Hardy Pkwy
Dallas, GA 30157-9472

Phone

(770) 445-3938

Fax

(770) 445-0127

NPI assigned

Sep 20, 2006

Last updated

Dec 13, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Keesha K Hampton Professional name

Medicare fee-for-service enrollment

Enrolled in GA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Keesha K Hampton OD PC

  • Optometrist
  • Dallas, GA
  • NPI 1851515225
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670889600000",
    "number": "1811094246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "935 QUEENSBROOKE WAY",
            "city": "MABLETON",
            "state": "GA",
            "postal_code": "301266413",
            "telephone_number": "678-945-4673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3615 CHARLES HARDY PKWY",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301579472",
            "telephone_number": "770-445-3938",
            "fax_number": "770-445-0127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMPTON",
        "first_name": "KEESHA",
        "middle_name": "K.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2022-12-13",
        "certification_date": "2022-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "GAOPT002236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KEESHA",
            "last_name": "HAMPTON",
            "middle_name": "K",
            "credential": "O.D., P.C.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Victoria Lynn Gunther, MA
• Giang T Ha, MD
• Jaclan Michelle Hall, SLP
• Melissa A Hall, CADC
• Benita Nannette Hamilton, PA-C
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• Hands-2-Hope LLC
• Bianca Hansford
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• Lindsey Harper, LCSW

• Optometrist in Dallas, GA
• Providers in Dallas, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.