MICHAEL S HAMPTON O.D.
NPI 1306803382
Optometrist in East Stroudsburg, PA

Active since April 26, 2006PECOS EnrolledAccepts Medicare Assignment
355 LINCOLN AVE, OPTICAL, EAST STROUDSBURG, PA 18301(570) 424-8728(570) 424-8751 Get Directions Write a Review

NPPES record last updated: September 4, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Michael S Hampton O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL S HAMPTON O.D. (NPI 1306803382) is an individual optometrist in East Stroudsburg, Pennsylvania, licensed in Pennsylvania (OEG001421) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS and is a graduate of Pennsylvania College Of Optometry (1996).

NPPES Registry Identity

NPI1306803382
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameMICHAEL S HAMPTONCredential: O.D.
Location Address355 LINCOLN AVE, OPTICALEast Stroudsburg, PA 18301-2814
Mailing Address355 Lincoln AveEast Stroudsburg, PA 18301-2814 · (215) 672-4300 · Fax (217) 672-9524
Fax(570) 424-8751
Sole ProprietorYes
Medical School CMSPennsylvania College Of OptometryGraduated 1996
Enumeration DateApril 26, 2006
Last NPPES UpdateSeptember 4, 2015
NPI 1306803382 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in PA · OEG001421
Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

355 LINCOLN AVE, East Stroudsburg, PA 18301

Other Identifiers 3

Medicare ID-Type Unspecified079079PA
Medicaid1009153190002PA
Medicare UPINU63865

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Michael S Hampton O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6103802210
PECOS Enrollment IDI20040629000408
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
37 services37 patients
Established patient office or other outpatient visit, 20-29 minutes 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
34 services33 patients
New patient office or other outpatient visit, 30-44 minutes 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
22 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18301 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
355 LINCOLN AVE
EAST STROUDSBURG, PA 18301
Pharmacist
355 LINCOLN AVE
EAST STROUDSBURG, PA 18301
Pharmacist
355 LINCOLN AVE
EAST STROUDSBURG, PA 18301
Technician/Technologist (Optician)
355 LINCOLN AVE
EAST STROUDSBURG, PA 18301
Pharmacy (Community/Retail Pharmacy)
355 LINCOLN AVE
EAST STROUDSBURG, PA 18301
Eyewear Supplier
355 LINCOLN AVE
EAST STROUDSBURG, PA 18301

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1306803382, enumerated as an "individual" on April 26, 2006.

The provider is located at 355 LINCOLN AVE OPTICAL EAST STROUDSBURG, PA 18301 and the phone number is (570) 424-8728.

Optometrist with taxonomy code 152W00000X.

The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter. Please consult your insurance carrier or call the provider to verify.