Derrick Badaracco

Optometrist · Buford, GA

Individual Active NPI

NPI number 1457767253

Practice location

3290 Buford Dr
Suite B-2
Buford, GA 30519-4928
Phone
(724) 799-1387

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NPI record

NPI
1457767253
Entity type
Individual (Type 1)
Enumeration date
July 1, 2014
Last updated
October 16, 2024
Certified
October 16, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Optometrist Primary 152W00000X GA 2860 GA
Optometrist 152W00000X 0618002352 VA

Mailing address

4180 Butler Dr
Chamblee, GA 30341-1361
Phone
(724) 799-1387

About Derrick Badaracco

Derrick Badaracco is a healthcare provider registered in the NPI registry with the primary taxonomy Optometrist (code 152W00000X). The practice location is 3290 Buford Dr, Suite B-2, Buford, GA 30519-4928. The NPI number 1457767253 was assigned on July 1, 2014 and the record was last updated on October 16, 2024.

Derrick Badaracco lists 2 licenses in the registry: #GA 2860 (GA) for Optometrist; #0618002352 (VA) for Optometrist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Derrick Badaracco?

The NPI number is 1457767253.

What is the phone number of Derrick Badaracco?

The phone number listed for the practice location is (724) 799-1387.

Where is Derrick Badaracco located?

3290 Buford Dr, Suite B-2, Buford, GA 30519-4928.

What is the taxonomy code for Derrick Badaracco?

The primary taxonomy code is 152W00000X – Optometrist; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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