| Abita Eye Group Llc | |
|
4330 Sheridan St # 102b, Hollywood, FL 33021-1407 | |
| (954) 287-2010 | |
| (305) 723-1910 |
| Full Name | Abita Eye Group Llc |
|---|---|
| Type | Facility |
| Speciality | Ophthalmology |
| Location | 4330 Sheridan St # 102b, Hollywood, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659862753 | NPI | - | NPPES |
| 103302400 | Medicaid | FL |
| Provider Name | Maria M Casas |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1851438519 PECOS PAC ID: 8628230349 Enrollment ID: I20170209000721 |
| Provider Name | Miriam Bach |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1801200977 PECOS PAC ID: 4789961269 Enrollment ID: I20170523001579 |
| Provider Name | Austin E Bach |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1659706588 PECOS PAC ID: 5092087908 Enrollment ID: I20170826000095 |
| Provider Name | Melissa Otero |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1457904765 PECOS PAC ID: 9133450810 Enrollment ID: I20191010001212 |
| Provider Name | Gisselle Stephanie Calero |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1619592607 PECOS PAC ID: 5496175010 Enrollment ID: I20201021001148 |
| Provider Name | Jennifer Murdock |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1538401583 PECOS PAC ID: 2668740150 Enrollment ID: I20221025001250 |
| Provider Name | Don Hershelson Noel |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1659998482 PECOS PAC ID: 9830559830 Enrollment ID: I20240910004865 |
| Mailing Address | Practice Location Address |
|---|---|
| Abita Eye Group Llc 4330 Sheridan St # 102b, Hollywood, FL 33021-1407 Ph: (954) 287-2010 | Abita Eye Group Llc 4330 Sheridan St # 102b, Hollywood, FL 33021-1407 Ph: (954) 287-2010 |