Individual provider Active NPI

Belinda Michelle Badorek, OD

  • Optometrist
  • Kennewick, WA
National Provider Identifier
1073559043
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3336TX Issued in WA
Practice address
6515 W Clearwater Ave
Ste 340
Kennewick, WA 99336-1790
Phone
(509) 737-2020
Fax
(509) 737-1036
NPI assigned
Jun 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3336TX WA Primary

Addresses

Primary practice location

6515 W Clearwater Ave
Ste 340
Kennewick, WA 99336-1790

Mailing address

6515 W Clearwater Ave
Ste 340
Kennewick, WA 99336-1790
Phone (509) 737-2020

Other identifiers 1

IdentifierTypeStateIssuer
2020758MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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

Enrollment IDStateProvider typePAC IDDetails
I20050502001207 WA Practitioner - Optometry 2860431558

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3336TXWAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-Cities Eyecare Center LLC Optometrist PastSince Jan 11, 2017 Accepting new patients
Cory R Hansen OD PS Optometrist Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: drbadorek@cwfec.eyefinity-direct.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073559043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6515 W CLEARWATER AVE",
            "address_2": "STE 340",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993361790",
            "telephone_number": "509-737-2020",
            "fax_number": "509-737-1036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6515 W CLEARWATER AVE",
            "address_2": "STE 340",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993361790",
            "telephone_number": "509-737-2020",
            "fax_number": "509-737-1036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BADOREK",
        "first_name": "BELINDA",
        "middle_name": "MICHELLE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "3336TX",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2020758",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennewick, WA

Sources for this page

Verify at the official NPI Registry.