Jennifer Velasco Badiola, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT5708 Issued in MA

Practice address

138 Haverhill St Ste 104
Andover, MA 01810-1501

Phone

(978) 475-0705

NPI assigned

Oct 21, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Jennifer Velasco Other name

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jbadiola@andovereye.intellechartdirect.net

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.

• Andover Eye Associates, Inc

  • Ophthalmology Physician
  • Andover, MA
  • NPI 1588678551

  Single Specialty

  Medicare reassignment NPD
• Integrity Eye Associates

  • Technician/Technologist
  • Wayne, PA
  • NPI 1083166904

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743033600000",
    "number": "1467604520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 WALLACE RD",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019022012",
            "telephone_number": "617-396-4056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 HAVERHILL ST STE 104",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018101501",
            "telephone_number": "978-475-0705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELASCO BADIOLA",
        "first_name": "JENNIFER",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-21",
        "last_updated": "2025-03-27",
        "certification_date": "2025-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MA",
            "license": "OPT5708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "VELASCO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ariel J Vaillancourt
• April Dawn Valete
• Vantage at Andover LLC
• Courtney Gail Vareschi, PH.D.
• Kiaralis Vasquez
• Veronica Faller M.D.
• James A Vieira, PHARMD
• Nancy C Vieira, RPH
• Victor Vidal Villarreal, M.D.
• Ashley Serpa Visniewski, LMHC, LCMHC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.