Active NPI
Harvey Franklin Mazer, O.D.
- Vision Therapy Optometrist
- Weston, FL
National Provider Identifier
1558345009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vision Therapy Optometrist
- License
- 1546
- Practice address
- 55 Weston Rd Ste 105
Weston, FL 33326-1112 - Phone
- (954) 440-7242
- Fax
- (954) 530-8367
- NPI assigned
- Nov 29, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vision Therapy Optometrist | 152WV0400X | 1546 | FL | Primary |
Addresses
Primary practice location
55 Weston Rd Ste 105
Weston, FL 33326-1112
Mailing address
55 Weston Rd Ste 105
Weston, FL 33326-1112
Phone (954) 440-7242
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1546 | FL | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marina Abdalla LLC | Vision Therapy | Current | Accepting new patients |
Locations
55 Weston Rd
Ste 105
Weston, FL 33326
Phone (954) 389-9600
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636934400000",
"number": "1558345009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 WESTON RD STE 105",
"city": "WESTON",
"state": "FL",
"postal_code": "333261112",
"telephone_number": "954-440-7242",
"fax_number": "954-530-8367"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 WESTON RD STE 105",
"city": "WESTON",
"state": "FL",
"postal_code": "333261112",
"telephone_number": "954-440-7242",
"fax_number": "954-530-8367"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAZER",
"first_name": "HARVEY",
"middle_name": "FRANKLIN",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-29",
"last_updated": "2021-11-15",
"certification_date": "2021-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "152WV0400X",
"taxonomy_group": "",
"desc": "Optometrist, Vision Therapy",
"state": "FL",
"license": "1546",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Weston, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.