Healthcare Provider Details

I. General information

NPI: 1669143111
Provider Name (Legal Business Name): MELANIE LOUISE HAMIEL, OD, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/24/2021
Last Update Date: 10/26/2023
Certification Date: 10/26/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1612 EGLIN ST STE 100
RAPID CITY SD
57701-6111
US

IV. Provider business mailing address

1612 EGLIN ST STE 100
RAPID CITY SD
57701-6111
US

V. Phone/Fax

Practice location:
  • Phone: 605-348-4778
  • Fax:
Mailing address:
  • Phone: 605-348-4778
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152WC0802X
TaxonomyCorneal and Contact Management Optometrist
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MELANIE LOUISE HAMIEL
Title or Position: OPTOMETRIST/OWNER
Credential: OD
Phone: 605-348-4778