Active NPI
Kathy Badria, O.D.
- Optometrist
- Goodyear, AZ
National Provider Identifier
1568873016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1964
- Practice address
- 995 S Cotton LN
Goodyear, AZ 85338-4604 - Phone
- (623) 932-9359
- NPI assigned
- May 17, 2014
- Last updated
- May 17, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1964 | AZ | Primary |
Addresses
Primary practice location
995 S Cotton LN
Goodyear, AZ 85338-4604
Mailing address
14456 W Carlin Dr
Surprise, AZ 85374-4227
Phone (520) 440-2834
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1964 | AZ | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1400284800000",
"number": "1568873016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14456 W CARLIN DR",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853744227",
"telephone_number": "520-440-2834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "995 S COTTON LN",
"city": "GOODYEAR",
"state": "AZ",
"postal_code": "853384604",
"telephone_number": "623-932-9359"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BADRIA",
"first_name": "KATHY",
"name_prefix": "Miss",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-05-17",
"last_updated": "2014-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AZ",
"license": "1964",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Goodyear, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.