Provider Demographics
NPI:1831585470
Name:BEN HAMPTON OD & ASSOCIATES PC
Entity type:Organization
Organization Name:BEN HAMPTON OD & ASSOCIATES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OD/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BENJAMIN
Authorized Official - Middle Name:
Authorized Official - Last Name:HAMPTON
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:404-843-8248
Mailing Address - Street 1:6631 ROSWELL RD
Mailing Address - Street 2:STE G
Mailing Address - City:SANDY SPRINGS
Mailing Address - State:GA
Mailing Address - Zip Code:30328-3179
Mailing Address - Country:US
Mailing Address - Phone:404-843-8248
Mailing Address - Fax:404-843-8249
Practice Address - Street 1:6631 ROSWELL RD
Practice Address - Street 2:STE G
Practice Address - City:SANDY SPRINGS
Practice Address - State:GA
Practice Address - Zip Code:30328-3179
Practice Address - Country:US
Practice Address - Phone:404-843-8248
Practice Address - Fax:404-843-8249
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-10
Last Update Date:2015-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAOPT000945152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty