Organization
ABITA EYE GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AUSTIN BACH DO (OWNER)
(954) 287-2010
Entity
Organization
Contact information
Practice address
4330 SHERIDAN ST # 102B, HOLLYWOOD, FL 33021-1407
(954) 287-2010
(305) 723-1910
Mailing address
4330 SHERIDAN ST # 102B, HOLLYWOOD, FL 33021-1407
(954) 287-2010
(305) 723-1910
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
—
207WX0110X
Pediatric Ophthalmology and Strabismus Specialist Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103302400
—
FL
Enumeration date
05/23/2018
Last updated
02/12/2026
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