Provider Demographics
NPI:1922216100
Name:OPED, INC.
Entity Type:Organization
Organization Name:OPED, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:STEPHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:HABERMEYER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-891-6733
Mailing Address - Street 1:203 CRESCENT STREET
Mailing Address - Street 2:SUITE 205
Mailing Address - City:WALTHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02453
Mailing Address - Country:US
Mailing Address - Phone:508-879-0762
Mailing Address - Fax:508-879-0769
Practice Address - Street 1:203 CRESCENT STREET
Practice Address - Street 2:SUITE 205
Practice Address - City:WALTHAM
Practice Address - State:MA
Practice Address - Zip Code:02453
Practice Address - Country:US
Practice Address - Phone:781-891-6733
Practice Address - Fax:781-891-6735
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-19
Last Update Date:2014-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAAA55237OtherHARVARD PILGRIM HEALTHCAR
6521130001Medicare PIN