Provider Demographics
NPI:1235345653
Name:HAMIEL, MELANIE LOUISE (OD)
Entity Type:Individual
Prefix:
First Name:MELANIE
Middle Name:LOUISE
Last Name:HAMIEL
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:MELANIE
Other - Middle Name:LOUISE
Other - Last Name:CULVEY HAMIEL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:OD
Mailing Address - Street 1:1612 EGLIN ST STE 100
Mailing Address - Street 2:
Mailing Address - City:RAPID CITY
Mailing Address - State:SD
Mailing Address - Zip Code:57701-6111
Mailing Address - Country:US
Mailing Address - Phone:605-348-4778
Mailing Address - Fax:
Practice Address - Street 1:1612 EGLIN ST STE 100
Practice Address - Street 2:
Practice Address - City:RAPID CITY
Practice Address - State:SD
Practice Address - Zip Code:57701-6111
Practice Address - Country:US
Practice Address - Phone:605-348-4778
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-15
Last Update Date:2023-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA12529152WC0802X
SD775152WC0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact ManagementGroup - Single Specialty