Provider Demographics
NPI:1437348505
Name:CAROL J HAMEL, OD INC
Entity Type:Organization
Organization Name:CAROL J HAMEL, OD INC
Other - Org Name:DRS. HAMEL AND WALDORF
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:B
Authorized Official - Last Name:PAILTHORPE
Authorized Official - Suffix:
Authorized Official - Credentials:CPO
Authorized Official - Phone:401-721-5599
Mailing Address - Street 1:132 OLD RIVER RD
Mailing Address - Street 2:STE 201
Mailing Address - City:LINCOLN
Mailing Address - State:RI
Mailing Address - Zip Code:02865-1161
Mailing Address - Country:US
Mailing Address - Phone:401-721-5599
Mailing Address - Fax:401-721-5597
Practice Address - Street 1:132 OLD RIVER RD STE 201
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:RI
Practice Address - Zip Code:02865-1158
Practice Address - Country:US
Practice Address - Phone:401-721-5599
Practice Address - Fax:401-721-5597
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-15
Last Update Date:2011-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIODTA00468152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI9007801Medicaid
RI9007801Medicaid