Individual provider Active NPI

Kelly Ann Bado, O.D.

  • Optometrist
  • Florence, MA
National Provider Identifier
1124213616
Registry record updated Dec 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3486 Issued in MA
Practice address
23 Mountain Laurel Path
Florence, MA 01062-3604
Phone
(423) 835-5758
NPI assigned
Sep 8, 2007
Last updated
Dec 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3486 MA Primary

Addresses

Primary practice location

23 Mountain Laurel Path
Florence, MA 01062-3604

Mailing address

23 Mountain Laurel Path
Florence, MA 01062-3604
Phone (423) 835-5758

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20071228000051 MA Practitioner - Optometry 5193805430 Reassigns benefits to 2 organizations
Practice locations: Barre, MA; Florence, MA; Hadley, MA

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

22 University Dr
Amherst, MA 01002-2243
Phone (413) 549-9400

489 Bernardston Rd
Greenfield, MA 01301-1238
Phone (413) 772-2571

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3486MAMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Mass Optometric Associates, PLLC Optometrist CurrentSince Aug 19, 2017 Accepting new patients
Myeyedr Optometry of Massachusetts P C Optometrist Current Accepting new patients
Myeyedr Optometry of Massachusetts P C Optometrist CurrentSince Aug 4, 2025 Accepting new patients
Myeyedr Optometry of Massachusetts P C Optometrist CurrentSince Aug 4, 2025 Accepting new patients
Mass Optometric Associates, PLLC Optometrist CurrentSince Aug 19, 2017 Accepting new patients
Kelly Bado, O.D. Optometrist PastSince Jan 1, 1990 Accepting new patients
Schaff Opticians, Inc. Past Accepting new patients
Kelly Bado, O.D. Optometrist PastSince Jan 1, 1990 Accepting new patients
Perreault Opticians Past Accepting new patients

Locations

22 University Dr
Amherst, MA 01002
Phone (413) 549-9400

700 Boston Rd
Billerica, MA 01821
Phone (978) 667-0481

489 Bernardston Rd
Greenfield, MA 01301
Phone (413) 772-2571

489 Bernardston Rd
Ste 101
Greenfield, MA 01301
Phone (413) 772-2571

344 Russell St
Ste 5
Hadley, MA 01035
Phone (413) 584-0452

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1189209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1124213616",
    "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": "423-835-5758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 MOUNTAIN LAUREL PATH",
            "city": "FLORENCE",
            "state": "MA",
            "postal_code": "010623604",
            "telephone_number": "423-835-5758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BADO",
        "first_name": "KELLY",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-08",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "3486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, MA

Sources for this page

Verify at the official NPI Registry.