Individual provider Active NPI

Hiral Patel Badiwala, O.D.

  • Optometrist
  • Elizabethtown, KY
National Provider Identifier
1750713103
Registry record updated Mar 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2082DT Issued in KY
Practice address
2618 Ring Rd Ste 108
Elizabethtown, KY 42701-7117
Phone
(270) 765-1128
NPI assigned
Aug 7, 2013
Last updated
Mar 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2082DT KY Primary
Pediatric Optometrist 152WP0200X 2082DT NY

Addresses

Primary practice location

2618 Ring Rd Ste 108
Elizabethtown, KY 42701-7117

Mailing address

380 Route 202
Somers, NY 10589-3222
Phone (914) 277-5550

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180112002324 KY Practitioner - Optometry 4486880440 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2618 Ring Rd
Suite 108
Elizabethtown, KY 42701-9118
Phone (502) 459-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2082DTNYMDPediatric Optometrist
008065NYMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Louisville Optometric Centers III, PSC Optometrist CurrentSince Oct 1, 2023 Accepting new patients
Louisville Optometric Centers III, PSC CurrentSince Oct 1, 2023 Accepting new patients
Ky Doctors of Optometry, PLLC Optometrist Past Accepting new patients
Louisville Optometric Centers, III PSC Optometrist Past Accepting new patients

Locations

2618 Ring Rd
Ste 108
Elizabethtown, KY 42701
Phone (270) 765-1128

1400 Poplar Level Rd
Louisville, KY 40217
Phone (502) 214-3390

4000 Poplar Level Rd
Louisville, KY 40213
Phone (502) 456-1004

4202 Poplar Level Rd
Louisville, KY 40213

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.

NPI Registry JSON

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

{
    "created_epoch": "1375833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711411200000",
    "number": "1750713103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 ROUTE 202",
            "city": "SOMERS",
            "state": "NY",
            "postal_code": "105893222",
            "telephone_number": "914-277-5550",
            "fax_number": "914-277-5735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2618 RING RD STE 108",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427017117",
            "telephone_number": "270-765-1128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BADIWALA",
        "first_name": "HIRAL",
        "middle_name": "PATEL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-07",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "2082DT",
            "primary": true
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "NY",
            "license": "2082DT",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabethtown, KY

Sources for this page

Verify at the official NPI Registry.