NPIMap

Organization Active NPI

Kelly Bado, O.D.

  • Optometrist
  • Southampton, MA
National Provider Identifier
1013463140
Registry record updated Aug 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3486 Issued in MA
Legal business name
KELLY BADO, O.D.
Practice address
15 College Hwy Ste B
Southampton, MA 01073-9274
Phone
(413) 527-5613
NPI assigned
Aug 29, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2016

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

Authorized official

Name
Dr. Kelly Bado, O.D.NPI 1124213616
Title
Owner
Phone
(413) 835-5758

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 3486 MA Primary

Addresses

Primary practice location

15 College Hwy Ste B
Southampton, MA 01073-9274

Mailing address

23 Mountain Laurel Path
Florence, MA 01062-3604
Phone (413) 835-5758

National Provider Directory

National Provider Directory
Tax ID family
Kelly Bado OD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1472428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472428800000",
    "number": "1013463140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 MOUNTAIN LAUREL PATH",
            "city": "FLORENCE",
            "state": "MA",
            "postal_code": "010623604",
            "telephone_number": "413-835-5758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 COLLEGE HWY STE B",
            "city": "SOUTHAMPTON",
            "state": "MA",
            "postal_code": "010739274",
            "telephone_number": "413-527-5613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLY BADO, O.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-29",
        "last_updated": "2016-08-29",
        "status": "A",
        "authorized_official_last_name": "BADO",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "413-835-5758",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MA",
            "license": "3486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southampton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.