Provider Demographics
NPI:1649471723
Name:HAMPTON, BENJAMIN EDWIN (OD)
Entity type:Individual
Prefix:DR
First Name:BENJAMIN
Middle Name:EDWIN
Last Name:HAMPTON
Suffix:
Gender:M
Credentials:OD
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Mailing Address - Street 1:8614 WESTWOOD CENTER DR FL 9
Mailing Address - Street 2:
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22182-2442
Mailing Address - Country:US
Mailing Address - Phone:703-847-8899
Mailing Address - Fax:571-223-6780
Practice Address - Street 1:5940 ROSWELL RD
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30328-4908
Practice Address - Country:US
Practice Address - Phone:404-843-2020
Practice Address - Fax:404-843-2022
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-29
Last Update Date:2025-01-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GAOPT000945152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist