Kelly Bado, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

3486 Issued in 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

Last updated

Oct 5, 2016By the provider in NPPES

Organization subpart

No

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

Optometrist/Owner

Phone

(413) 835-5758

Specialties & licenses 1

Addresses

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.

• Kelly Bado, O.D.

  • Optometrist
  • Southampton, MA
  • NPI 1013463140
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kelly Ann Bado, O.D.

  • Optometrist
  • Florence, MA
  • NPI 1124213616
  NPD (past) Authorized official

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

{
    "created_epoch": "1475625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475625600000",
    "number": "1104376946",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 MAIN ST S",
            "city": "BARRE",
            "state": "MA",
            "postal_code": "010059005",
            "telephone_number": "978-355-2191",
            "fax_number": "978-355-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLY BADO, O.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-05",
        "last_updated": "2016-10-05",
        "status": "A",
        "authorized_official_last_name": "BADO",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "OPTOMETRIST/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": []
}

• Cynthia Dhanam Jeremiah
• Jillian K Joseph, PA-C
• Andrea Domenica Julian, NP
• Daniel Paul Jurczyk, RN
• Melissa Kaplan
• Gabriel Paul Kondrotas, PA-C, ATC
• Efrosini Konomi, PA-C
• Alfredo Lamas, PHARMD
• Victoria Mary Landry, CNP
• Brett C Lehner, MD

• Optometrist in Barre, MA
• Providers in Barre, MA by specialty
• Optometrist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.