Provider Demographics
NPI:1518760206
Name:ABUAITA EYECARE
Entity type:Organization
Organization Name:ABUAITA EYECARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MBR
Authorized Official - Prefix:DR
Authorized Official - First Name:DIYA
Authorized Official - Middle Name:
Authorized Official - Last Name:ABUAITA
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:813-817-8722
Mailing Address - Street 1:2802 MAPLE BROOK LOOP
Mailing Address - Street 2:
Mailing Address - City:LUTZ
Mailing Address - State:FL
Mailing Address - Zip Code:33558-5050
Mailing Address - Country:US
Mailing Address - Phone:813-817-8722
Mailing Address - Fax:
Practice Address - Street 1:27001 US HIGHWAY 19 N STE 2004
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33761-3421
Practice Address - Country:US
Practice Address - Phone:727-669-6400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-29
Last Update Date:2025-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty