Kelly Bado, O.D.

Organization Active NPI Optometrist · Barre, MA

NPI 1104376946 · NPPES record last updated Oct 5, 2016

Key facts

NPI
1104376946
Entity type
Organization (NPI type 2)
Primary specialty
Optometrist 152W00000X
License
3486 (MA)
Legal business name
KELLY BADO, O.D.
Practice address
395 Main St S
Barre, MA 01005-9005
Phone
(978) 355-2191
Fax
(978) 355-2020
NPI assigned
Oct 5, 2016
Organization subpart
No

Authorized official

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

Corporate family (same 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.

National Provider Directory

Tax ID family
Kelly Bado OD (2 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist
Group: 193400000X SINGLE SPECIALTY GROUP
152W00000X 3486 MA Yes

Addresses

Primary practice location

395 Main St S
Barre, MA 01005-9005

Mailing address

23 Mountain Laurel Path
Florence, MA 01062-3604

Other providers in Barre, MA

All providers in Barre, MA · Optometrist in Massachusetts

Sources for this page

Verify at the official NPI Registry.