Badillo, Aida I

Badillo, Aida I is an individual health care provider with primary practice located at 7900 Shelbyville Rd Ste A15 , Louisville KY 40222-5463. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Badillo, Aida I can be contacted via phone (502) 327-8568.

Contact Information

Primary practice address
7900 Shelbyville Rd Ste A15 Louisville KY 40222-5463
Phone: (502) 327-8568
Fax: (502) 327-0613
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 18003026 Indiana
Eye and Vision Services Providers / Optometrist 152W00000X 1471DT Kentucky

Profile Details

NPI number 1528065612
LBN Legal business name Badillo, Aida I
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2005
Last updated Jun 26th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528065612 NPPES
Kentucky MEDICAID 77000305
Kentucky MEDICAID 200312800

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