Miriam Bach, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC4918 Issued in FL

Practice address

4330 Sheridan St Ste 102B
Hollywood, FL 33021-1407

Phone

(954) 287-2010

Fax

(305) 723-1910

NPI assigned

Jun 17, 2014

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Networks

• Freedom Health HMO Network

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.

• Abita Eye Group LLC

  • Ophthalmology Physician
  • Hollywood, FL
  • NPI 1659862753

  Optometrist

  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1402963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668038400000",
    "number": "1801200977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4330 SHERIDAN ST # 102B",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330211407",
            "telephone_number": "954-287-2010",
            "fax_number": "305-723-1910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4330 SHERIDAN ST STE 102B",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330211407",
            "telephone_number": "954-287-2010",
            "fax_number": "305-723-1910"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8124 Wiles Rd",
            "address_purpose": "LOCATION",
            "city": "Coral Springs",
            "state": "FL",
            "postal_code": "330672061",
            "country_code": "US",
            "telephone_number": "954-287-2101",
            "fax_number": "305-723-1910",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12750 NW 17th St Unit 201",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331821422",
            "country_code": "US",
            "telephone_number": "786-465-4836",
            "fax_number": "305-723-1910",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7330 NW 36th St # 4",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331666705",
            "country_code": "US",
            "telephone_number": "786-465-7509",
            "fax_number": "305-723-1910",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10676 NW 19th St",
            "address_purpose": "LOCATION",
            "city": "Doral",
            "state": "FL",
            "postal_code": "331722542",
            "country_code": "US",
            "telephone_number": "786-465-4836",
            "fax_number": "305-723-1910",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "530 21st St",
            "address_purpose": "LOCATION",
            "city": "Vero Beach",
            "state": "FL",
            "postal_code": "329605450",
            "country_code": "US",
            "telephone_number": "772-562-2020",
            "fax_number": "305-723-1910",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "142 W Hillsboro Blvd",
            "address_purpose": "LOCATION",
            "city": "Deerfield Beach",
            "state": "FL",
            "postal_code": "334413433",
            "country_code": "US",
            "telephone_number": "954-570-9293",
            "fax_number": "305-723-1910",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BACH",
        "first_name": "MIRIAM",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-17",
        "last_updated": "2022-11-10",
        "certification_date": "2022-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Desiree Babin, MD
• Cynthia Leigh Baca, MD
• Maria de Lourdes Bacaro Legon
• Sandro Bacchelli, MD
• Austin Bach, D.O.
• Gitit Bachiry, RDN
• Hilly Bachiry
• Jenna Bachman, BCBA
• Back 2 Back Center
• Back 2 Function Home Care, Inc.

• Optometrist in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.