Keesha K Hampton OD PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

GAOPT002236 Issued in GA

Legal business name

KEESHA K HAMPTON OD PC

Practice address

3615 Charles Hardy Pkwy
Dallas, GA 30157-9472

Phone

(770) 445-3938

Fax

(770) 445-0127

NPI assigned

Apr 13, 2007

Last updated

Dec 13, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Keesha K. Hampton, ODNPI 1811094246

Title

Optometrist

Phone

(770) 445-3938

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

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.

• Keesha K. Hampton, O.D.

  • Optometrist
  • Dallas, GA
  • NPI 1811094246
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670889600000",
    "number": "1851515225",
    "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": "770-445-3938",
            "fax_number": "770-445-0127"
        },
        {
            "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": {
        "organization_name": "KEESHA K HAMPTON OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2022-12-13",
        "certification_date": "2022-12-13",
        "status": "A",
        "authorized_official_last_name": "HAMPTON",
        "authorized_official_first_name": "KEESHA",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "770-445-3938",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "GAOPT002236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anantha N. Kamath, M.D.
• Amira Karriem, MBA, BS, RT
• Christopher Kattner, PTA
• Amy Lynn Kay, MS, LPC
• Terry S Kaye, DC
• Sarah Kell
• Stefanie Kelly, LCCE
• Destini Kelsey
• Gloria Kemp
• Scheene Kendrick, RDN,LD

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.