Individual
AIDA I BADILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
7900 SHELBYVILLE RD STE A15, LOUISVILLE, KY 40222-5463
(502) 327-8568
(502) 327-0613
Mailing address
5855 RELIABLE PKWY, CHICAGO, IL 60686-0001
(502) 955-2020
(502) 736-4490
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1471DT
KY
152W00000X
Optometrist
18003026
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200312800
—
IN
05
—
77000305
—
KY
Enumeration date
07/05/2005
Last updated
06/26/2019
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