Provider Demographics
NPI:1558345009
Name:MAZER, HARVEY FRANKLIN (OD)
Entity Type:Individual
Prefix:DR
First Name:HARVEY
Middle Name:FRANKLIN
Last Name:MAZER
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
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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
Is Sole Proprietor?:No
Enumeration Date:2005-11-29
Last Update Date:2021-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1546152WV0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152WV0400XEye and Vision Services ProvidersOptometristVision Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL19192Medicare PIN
FLT93895Medicare UPIN