Provider Demographics
NPI:1669449013
Name:HAMPTON, DIANA E (MD)
Entity Type:Individual
Prefix:
First Name:DIANA
Middle Name:E
Last Name:HAMPTON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:DIANA
Other - Middle Name:H
Other - Last Name:LOCHER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:13401 N WESTERN AVE
Mailing Address - Street 2:STE 402
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73114-1412
Mailing Address - Country:US
Mailing Address - Phone:405-608-8820
Mailing Address - Fax:405-608-8822
Practice Address - Street 1:13401 N WESTERN AVE
Practice Address - Street 2:SUITE 402
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73114-1407
Practice Address - Country:US
Practice Address - Phone:405-608-8820
Practice Address - Fax:405-608-8822
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-03
Last Update Date:2020-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK19930207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK100089660AMedicaid
OK700522187Medicare PIN
G64937Medicare UPIN