Active NPI
Elizabeth Paige Hedgpath, O.D.
- Optometrist
- Jefferson City, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- T03287
- Practice address
- 323 Monroe St
Jefferson City, MO 65101-3105 - Phone
- (573) 635-1313
- Fax
- (800) 432-6004
- NPI assigned
- Mar 14, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | T03287 | MO | Primary |
Addresses
Primary practice location
323 Monroe St
Jefferson City, MO 65101-3105
Mailing address
323 Monroe St
Jefferson City, MO 65101-3105
Phone (573) 635-1313
Other identifiers 13
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 22-01220 | Other | UNITED HEALTHCARE | |
| 126313 | Other | BLUE CROSS BLUE SHIELD MO | |
| U64047 | Other | MERCY HEALTH PLANS | |
| 410048085 | Other | RAILROAD MEDICARE | |
| MO3287 | Other | EYEMED | |
| 318612926 | Medicaid | MO | |
| 83962 | Other | GROUP HEALTH PLAN | |
| P00402866 | Other | MO | RR MEDICARE |
| 22933 | Other | OPTICARE MED. COMPLETE | |
| 673825 | Other | HEALHLINK | |
| 410048085 | Other | IL | RR MEDICARE |
| 4181 | Other | MO | HEALTHCARE USA |
| 318612934 | Medicaid | MO |
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, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1400 Forum Blvd
Suite 14
Columbia, MO 65203-1997
Phone (573) 446-0331
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 18 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T03287 | 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 |
| R.G.Palmer O.D,P.C. | Optometrist | Past | Accepting new patients |
| Paige Hedgpath O.D,P.C. | Optometrist | Past | Accepting new patients |
| Nu-Crown, LLC | Optometrist | Past | Accepting new patients |
Locations
211 E Broadway
Alton, IL 62002
Phone (314) 787-0681
1400 Forum Blvd
Columbia, MO 65203
Phone (573) 446-0331
1400 Forum Blvd
Ste 14
Columbia, MO 65203
Phone (573) 446-0331
1709 Missouri Blvd
Ste Ijk
Jefferson City, MO 65109
Phone (573) 635-1313
323 Monroe St
Jefferson Cty, MO 65101
Phone (573) 635-1313
4645 Osage Beach Pkwy
Ste G
Osage Beach, MO 65065
Phone (573) 635-1313
Organizations & group practices 6
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.
-
- Optometrist
- Jefferson City, MO
- NPI 1366697781
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312329600000",
"number": "1669441630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "323 MONROE ST",
"city": "JEFFERSON CITY",
"state": "MO",
"postal_code": "651013105",
"telephone_number": "573-635-1313",
"fax_number": "573-634-8500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "323 MONROE ST",
"city": "JEFFERSON CITY",
"state": "MO",
"postal_code": "651013105",
"telephone_number": "573-635-1313",
"fax_number": "800-432-6004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEDGPATH",
"first_name": "ELIZABETH",
"middle_name": "PAIGE",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-03-14",
"last_updated": "2011-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MO",
"license": "T03287",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "22-01220",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD MO",
"identifier": "126313",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MERCY HEALTH PLANS",
"identifier": "U64047",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "410048085",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EYEMED",
"identifier": "MO3287",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "318612926",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP HEALTH PLAN",
"identifier": "83962",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00402866",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTICARE MED. COMPLETE",
"identifier": "22933",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALHLINK",
"identifier": "673825",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "410048085",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHCARE USA",
"identifier": "4181",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "318612934",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jefferson City, MO
- Hearing Aid Consultants, LLC
- Hearing Systems of Jefferson City Missouri (Hearing Aid Consultants)
- Heather Noel Heberle, RD, LD
- Emma Heckart, OTR/L
- Gabrielle Elizabeth Heckman, MOT
- Ashlee Marie Hedrick, APRN
- James Heeter
- Heather L Heidbreder, OTR/L
- Keith Heidbreder, PTA
- Davye Janette Heine, SPEECH LANGUAGE PATH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2011; 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.