Abita Eye Group Llc is a medicare enrolled "Ophthalmology - Pediatric Ophthalmology And Strabismus Specialist" provider in Hollywood, Florida. Their current practice location is
4330 Sheridan St Ste 102b, Hollywood, Florida. You can reach out to their office (for appointments etc.) via phone at
(954) 287-2010.
Abita Eye Group Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Abita Eye Group Llc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1659862753.
Healthcare Provider's Profile
| Full Name | Abita Eye Group Llc |
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| Type | Facility |
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| Speciality | Ophthalmology - Pediatric Ophthalmology And Strabismus Specialist |
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| Location | 4330 Sheridan St Ste 102b, Hollywood, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1659862753
- Provider Enumeration Date: 05/23/2018
- Last Update Date: 04/17/2024
Medicare PECOS Information:
- PECOS PAC ID: 4082957048
- Enrollment ID: O20190515002837
Medical Identifiers
Medical identifiers for Abita Eye Group Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1659862753 | NPI | - | NPPES |
| 103302400 | Medicaid | FL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | (* (Not Available)) | Secondary |
| 207W00000X | Ophthalmology | (* (Not Available)) | Secondary |
| 207WX0110X | Ophthalmology - Pediatric Ophthalmology And Strabismus Specialist | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Abita Eye Group Llc acts as a billing entity for following providers:
| Provider Name | Maria M Casas |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1851438519
PECOS PAC ID: 8628230349
Enrollment ID: I20170209000721 |
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| Provider Name | Miriam Bach |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1801200977
PECOS PAC ID: 4789961269
Enrollment ID: I20170523001579 |
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| Provider Name | Austin E Bach |
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| Provider Type | Practitioner - Ophthalmology |
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| Provider Identifiers | NPI Number: 1659706588
PECOS PAC ID: 5092087908
Enrollment ID: I20170826000095 |
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| Provider Name | Melissa Otero |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1457904765
PECOS PAC ID: 9133450810
Enrollment ID: I20191010001212 |
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| Provider Name | Gisselle Stephanie Calero |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1619592607
PECOS PAC ID: 5496175010
Enrollment ID: I20201021001148 |
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| Provider Name | Jennifer Lynn Murdock |
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| Provider Type | Practitioner - Ophthalmology |
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| Provider Identifiers | NPI Number: 1538401583
PECOS PAC ID: 2668740150
Enrollment ID: I20221025001250 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Abita Eye Group Llc is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Abita Eye Group Llc
4330 Sheridan St # 102b,
Hollywood, FL 33021-1407
Ph: (954) 287-2010 | Abita Eye Group Llc
4330 Sheridan St Ste 102b,
Hollywood, FL 33021-1407
Ph: (954) 287-2010 |
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