Provider Demographics
NPI:1093939514
Name:H.F.M. O.D. INC
Entity Type:Organization
Organization Name:H.F.M. O.D. INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HARVEY
Authorized Official - Middle Name:F
Authorized Official - Last Name:MAZER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:954-440-7242
Mailing Address - Street 1:55 WESTON RD STE 105
Mailing Address - Street 2:
Mailing Address - City:WESTON
Mailing Address - State:FL
Mailing Address - Zip Code:33326-1112
Mailing Address - Country:US
Mailing Address - Phone:954-440-7242
Mailing Address - Fax:954-530-8367
Practice Address - Street 1:55 WESTON RD STE 105
Practice Address - Street 2:
Practice Address - City:WESTON
Practice Address - State:FL
Practice Address - Zip Code:33326-1112
Practice Address - Country:US
Practice Address - Phone:954-440-7242
Practice Address - Fax:954-530-8367
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-13
Last Update Date:2021-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOP1546152WV0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152WV0400XEye and Vision Services ProvidersOptometristVision TherapyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL19192Medicare PIN
FLT93895Medicare UPIN