Active NPI
Devin Coleman
- Optometrist
- Laurie, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2025018601
- Practice address
- 130 S Main St
Laurie, MO 65038 - Phone
- (573) 374-5222
- NPI assigned
- Mar 4, 2025
- Last updated
- May 29, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2025018601 | MO | Primary |
Addresses
Primary practice location
130 S Main St
Laurie, MO 65038
Mailing address
6619 243Rd CT
Salem, WI 53168-8803
Phone (262) 308-3561
Other practice location 1
117 South Business Route Hwy 5
Camdenton, MO 65020
Phone (573) 346-5951
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3251 Bagnell Dam Blvd
Suite D
Lake Ozark, MO 65049-9728
Phone (573) 365-3717
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2025018601 | MO | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paige Hedgpath Odpc | Optometrist | Current | Accepting new patients |
| Paige Hedgpath OD,PC | Optometrist | Current | Accepting new patients |
| B &B Eyecare, LLC | Optometrist | Past | Accepting new patients |
| Lake Ozark Family Eyecare, Inc. | Optometrist | Past | Accepting new patients |
Locations
117 S Business Route 5
Camdenton, MO 65020
Phone (573) 346-5951
1400 Forum Blvd
Ste 14
Columbia, MO 65203
Phone (573) 446-0331
138 S Main St
Gravois Mills, MO 65037
Phone (573) 280-2884
323 Monroe St
Jefferson Cty, MO 65101
Phone (573) 635-1313
3251 Bagnell Dam Blvd
Ste D
Lake Ozark, MO 65049
Phone (573) 365-3717
5962 Osage Beach Pkwy
Osage Beach, MO 65065
Phone (573) 348-2747
6756 Chippewa St
Saint Louis, MO 63109
Phone (314) 351-4991
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.
-
dba Family eyecare Associates
- Optometrist
- Lake Ozark, MO
- NPI 1427234970
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1741046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748476800000",
"number": "1457159790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6619 243RD CT",
"city": "SALEM",
"state": "WI",
"postal_code": "531688803",
"telephone_number": "262-308-3561"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 S MAIN ST",
"city": "LAURIE",
"state": "MO",
"postal_code": "65038",
"telephone_number": "573-374-5222"
}
],
"practiceLocations": [
{
"address_1": "117 South Business Route Hwy 5",
"address_purpose": "LOCATION",
"city": "Camdenton",
"state": "MO",
"postal_code": "65020",
"country_code": "US",
"telephone_number": "573-346-5951",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COLEMAN",
"first_name": "DEVIN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-03-04",
"last_updated": "2025-05-29",
"certification_date": "2025-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MO",
"license": "2025018601",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Laurie, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.