Provider Demographics
NPI:1497752513
Name:HAMEL, PAUL V (OD)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:V
Last Name:HAMEL
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3555
Mailing Address - Street 2:
Mailing Address - City:PEABODY
Mailing Address - State:MA
Mailing Address - Zip Code:01961-3555
Mailing Address - Country:US
Mailing Address - Phone:978-532-1022
Mailing Address - Fax:
Practice Address - Street 1:9 SYLVAN ST
Practice Address - Street 2:
Practice Address - City:PEABODY
Practice Address - State:MA
Practice Address - Zip Code:01960-1606
Practice Address - Country:US
Practice Address - Phone:978-532-1022
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-05
Last Update Date:2022-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3833152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0369543Medicaid
MA0369543Medicaid