Active NPI
David John Hamel, DISPENSING OPTICIAN
- Optician
- Braintree, MA
National Provider Identifier
1053063164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 4785
- Practice address
- 111 Grossman Dr
Braintree, MA 02184-4997 - Phone
- (781) 849-2293
- Fax
- (781) 849-2573
- NPI assigned
- Jan 20, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | 4785 | MA | Primary |
Addresses
Primary practice location
111 Grossman Dr
Braintree, MA 02184-4997
Mailing address
111 Grossman Dr
Braintree, MA 02184-4997
Phone (781) 849-2293
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4785 | MA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642636800000",
"number": "1053063164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 GROSSMAN DR",
"city": "BRAINTREE",
"state": "MA",
"postal_code": "021844997",
"telephone_number": "781-849-2293",
"fax_number": "781-849-2573"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 GROSSMAN DR",
"city": "BRAINTREE",
"state": "MA",
"postal_code": "021844997",
"telephone_number": "781-849-2293",
"fax_number": "781-849-2573"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMEL",
"first_name": "DAVID",
"middle_name": "JOHN",
"credential": "DISPENSING OPTICIAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-01-20",
"last_updated": "2022-01-20",
"certification_date": "2021-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "MA",
"license": "4785",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Braintree, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.