Aida I Badillo, OD
Individual provider Active NPI Optometrist · Louisville, KY
NPI 1528065612 · NPPES record last updated Jun 26, 2019
Key facts
- NPI
- 1528065612
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 1471DT (KY)
- Practice address
- 7900 Shelbyville Rd Ste A15
Louisville, KY 40222-5463 - Phone
- (502) 327-8568
- Fax
- (502) 327-0613
- NPI assigned
- Jul 5, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 25
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- International American University at Puerto Rico - School of Optometry, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ky Doctors of Optometry, PLLC
Practice addresses (Care Compare)
4655 Outer Loop
Louisville, KY 40219-3970
Phone (502) 966-2020
500 Winchester Ave
Suite 810
Ashland, KY 41101-7362
Phone (606) 324-3672
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050330000545 | KY | Practitioner - Optometry | 2365408275 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tri-State Doctors of | Optometrist | Current |
Accepting new patients |
| 20-20 Eyecare PSC | Optometrist | Past | Accepting new patients |
| Clarkson Optometry Midwest Inc | Optometrist | Past | Accepting new patients |
Locations
4655 Outer Loop
Louisville, KY 40219
Phone (502) 966-2020
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 18003026 | IN | |
| Optometrist | 152W00000X | 1471DT | KY | Yes |
Addresses
Primary practice location
7900 Shelbyville Rd Ste A15
Louisville, KY 40222-5463
Mailing address
5855 Reliable Pkwy
Chicago, IL 60686-0001
Phone (502) 955-2020
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 77000305 | Medicaid | KY | |
| 200312800 | Medicaid | IN |
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 26, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.