Provider Demographics
NPI:1073559043
Name:BADOREK, BELINDA MICHELLE (OD)
Entity Type:Individual
Prefix:
First Name:BELINDA
Middle Name:MICHELLE
Last Name:BADOREK
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6515 W CLEARWATER AVE
Mailing Address - Street 2:STE 340
Mailing Address - City:KENNEWICK
Mailing Address - State:WA
Mailing Address - Zip Code:99336-1790
Mailing Address - Country:US
Mailing Address - Phone:509-737-2020
Mailing Address - Fax:509-737-1036
Practice Address - Street 1:6515 W CLEARWATER AVE
Practice Address - Street 2:STE 340
Practice Address - City:KENNEWICK
Practice Address - State:WA
Practice Address - Zip Code:99336-1790
Practice Address - Country:US
Practice Address - Phone:509-737-2020
Practice Address - Fax:509-737-1036
Is Sole Proprietor?:No
Enumeration Date:2006-06-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA3336TX152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA2020758Medicaid
WA2020758Medicaid
U67290Medicare UPIN