Active NPI
Aida I Badillo, OD
- Optometrist
- Louisville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1471DT
- Practice address
- 7900 Shelbyville Rd Ste A15
Louisville, KY 40222-5463 - Phone
- (502) 327-8568
- Fax
- (502) 327-0613
- NPI assigned
- Jul 5, 2005
- Last updated
- Jun 26, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1471DT | KY | Primary |
| Optometrist | 152W00000X | 18003026 | IN |
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 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 77000305 | Medicaid | KY | |
| 200312800 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- 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
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18003026 | IN | MD | Optometrist |
| 1471DT | KY | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ky Doctors of Optometry, PLLC | Optometrist | Current | Accepting new patients |
| Clarkson Optometry Midwest Inc | Optometrist | Past | Accepting new patients |
| 20-20 Eyecare PSC | Optometrist | Past | Accepting new patients |
Locations
4655 Outer Loop
Louisville, KY 40219
Phone (502) 966-2020
Organizations & group practices 4
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.
-
dba KY Doctors of Optometry
- Eyewear Supplier
- Louisville, KY
- NPI 1275617276
Optometrist
-
- Optometrist
- Louisville, KY
- NPI 1710924949
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561507200000",
"number": "1528065612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5855 RELIABLE PKWY",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606860001",
"telephone_number": "502-955-2020",
"fax_number": "502-736-4490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7900 SHELBYVILLE RD STE A15",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402225463",
"telephone_number": "502-327-8568",
"fax_number": "502-327-0613"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BADILLO",
"first_name": "AIDA",
"middle_name": "I",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-05",
"last_updated": "2019-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "KY",
"license": "1471DT",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IN",
"license": "18003026",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "77000305",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200312800",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.