Organization Active NPI

Dr. Paul V. Hamel

  • Optometrist
  • Peabody, MA
National Provider Identifier
1942359609
Registry record updated Nov 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
MA3833 Issued in MA
Legal business name
DR. PAUL V. HAMEL
Practice address
9 Sylvan St
Peabody, MA 01960
Phone
(781) 223-7070
NPI assigned
Jan 10, 2007
Organization subpart
No

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

Authorized official

Name
Dr. Paul V Hamel, ODNPI 1497752513
Title
Owner
Phone
(781) 223-7070

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X MA3833 MA Primary

Addresses

Primary practice location

9 Sylvan St
Peabody, MA 01960

Mailing address

PO Box 3555
Peabody, MA 01961-3555
Phone (781) 223-7070

Other identifiers 1

IdentifierTypeStateIssuer
W20415OtherMABCBS GROUP PROVIDER ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060120000500 MA Part B Supplier - Clinic/Group Practice 5496779183 Receives reassigned benefits from 1 practitioner
Practice locations: Revere, MA; Peabody, MA

National Provider Directory

National Provider Directory

Locations

229 Andover St
Ste 3
Peabody, MA 01960
Phone (781) 223-7070

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

339 Squire Rd
Ste 130-134
Revere, MA 02151
Phone (781) 629-4897

229 Main St
#V
Wilmington, MA 01887
Phone (978) 658-8890

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668470400000",
    "number": "1942359609",
    "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": "781-223-7070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 SYLVAN ST",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "01960",
            "telephone_number": "781-223-7070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. PAUL V. HAMEL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-15",
        "status": "A",
        "authorized_official_last_name": "HAMEL",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "781-223-7070",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MA",
            "license": "MA3833",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP PROVIDER ID",
            "identifier": "W20415",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Peabody, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.