Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Derrick Badaracco

Individual provider Optometrist · NPI 1457767253

Derrick Badaracco is an Optometry in Buford, Georgia. Graduated from State University of New York - State College Optometry in 2014, 12 years ago. Accepts Medicare assignment. Licensed in Georgia and Virginia.

Years since qualifying
12
Trained at
State University of New York - State College Optometry
Licensed in
GA, VA
In the registry since
2014
Specialties on file
2

Practice location Address checks out

3290 Buford Dr Ste B-2
Buford, GA 30519-4928
Phone: (724) 799-1387
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence GA 2860 (GA)
Optometrist Taxonomy 152W00000X · Licence 0618002352 (VA)

Record details

NPI number1457767253
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 1, 2014
Last updated in NPPESOctober 16, 2024
Certification dateOctober 16, 2024
Mailing address4180 Butler Dr, Chamblee, GA 30341-1361

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolSTATE UNIVERSITY OF NEW YORK - STATE COLLEGE OPTOMETRY
Graduated 2014 (12 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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