Individual provider Active NPI

Melissa Marie Enevoldsen, O.D.

  • Optometrist
  • Blue Springs, MO
National Provider Identifier
1396092961
Registry record updated Sep 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1926 Issued in KS
Practice address
1116 SW US Highway 40
Blue Springs, MO 64015-4610
Phone
(816) 229-2020
Fax
(816) 220-2020
NPI assigned
Aug 13, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1926 KS Primary
Optometrist 152W00000X 2012017234 MO

Addresses

Primary practice location

1116 SW US Highway 40
Blue Springs, MO 64015-4610

Mailing address

1116 SW US Highway 40
Blue Springs, MO 64015-4610
Phone (816) 229-2020

Other names 1

  • Melissa Marie Schmidt Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140212000756 MO Practitioner - Optometry 6406005081 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Missouri St Louis - School of Optometry, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Paige Hedgpath OdpcGroup PAC ID 5991856460, 25 clinicians

Practice addresses (Care Compare)

1116 W 40 Hwy
Paige Hedgpath Odpc
Blue Springs, MO 64015-4610
Phone (816) 229-2020

1400 Forum Blvd
Suite 14
Columbia, MO 65203-1997
Phone (573) 446-0331

6708 Raytown Rd
Raytown, MO 64133-5272
Phone (816) 353-1872

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Paige Hedgpath OD,PC Optometrist CurrentSince Nov 19, 2021 Accepting new patients
Paige Hedgpath Odpc Optometrist CurrentSince Nov 19, 2021 Accepting new patients
Acuity Vision Center LLC Optometrist PastSince Sep 15, 2019 Accepting new patients
Advanced Eyecare PC Optometrist Past Accepting new patients

Locations

1116 W 40 Hwy
Blue Springs, MO 64015
Phone (816) 229-2020

1400 Forum Blvd
Ste 14
Columbia, MO 65203
Phone (573) 446-0331

323 Monroe St
Jefferson Cty, MO 65101
Phone (573) 635-1313

905 W Foxwood Dr
Raymore, MO 64083
Phone (816) 322-1872

6708 Raytown Rd
Raytown, MO 64133
Phone (816) 353-1872

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1344816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788825600000",
    "number": "1396092961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1116 SW US HIGHWAY 40",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640154610",
            "telephone_number": "816-229-2020",
            "fax_number": "816-220-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1116 SW US HIGHWAY 40",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640154610",
            "telephone_number": "816-229-2020",
            "fax_number": "816-220-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENEVOLDSEN",
        "first_name": "MELISSA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-13",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1926",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2012017234",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "SCHMIDT",
            "middle_name": "MARIE",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Blue Springs, MO

Sources for this page

Verify at the official NPI Registry.