Provider Demographics
NPI:1669143111
Name:MELANIE LOUISE HAMIEL, OD, PLLC
Entity type:Organization
Organization Name:MELANIE LOUISE HAMIEL, OD, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MELANIE
Authorized Official - Middle Name:LOUISE
Authorized Official - Last Name:HAMIEL
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:605-348-4778
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:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-24
Last Update Date:2023-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact ManagementGroup - Single Specialty