Individual provider Active NPI

Paul V Hamel, OD

  • Optometrist
  • Peabody, MA
National Provider Identifier
1497752513
Registry record updated Nov 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3833 Issued in MA
Practice address
9 Sylvan St
Peabody, MA 01960-1606
Phone
(978) 532-1022
NPI assigned
Jul 5, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3833 MA Primary

Addresses

Primary practice location

9 Sylvan St
Peabody, MA 01960-1606

Mailing address

PO Box 3555
Peabody, MA 01961-3555
Phone (978) 532-1022

Other practice location 1

339 Squire Rd
Revere, MA 02151-6148
Phone (781) 289-5900

Other identifiers 1

IdentifierTypeStateIssuer
0369543MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060120000518 MA Practitioner - Optometry 6103840897 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Exams LLCGroup PAC ID 0941508055, 2 clinicians

Practice addresses (Care Compare)

9 Sylvan St
Peabody, MA 01960-1606
Phone (978) 532-1022

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Exams, LLC Optometrist CurrentSince Feb 26, 2016 Accepting new patients
Precision Vision, Inc Optometrist Current Accepting new patients

Locations

9 Sylvan St
Peabody, MA 01960
Phone (978) 532-1022

339 Squire Rd
Revere, MA 02151
Phone (781) 289-5900

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1120521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668470400000",
    "number": "1497752513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3555",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019613555",
            "telephone_number": "978-532-1022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 SYLVAN ST",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019601606",
            "telephone_number": "978-532-1022"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "339 Squire Rd",
            "address_purpose": "LOCATION",
            "city": "Revere",
            "state": "MA",
            "postal_code": "021516148",
            "country_code": "US",
            "telephone_number": "781-289-5900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMEL",
        "first_name": "PAUL",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-05",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "3833",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0369543",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Peabody, MA

Sources for this page

Verify at the official NPI Registry.