Individual provider Active NPI

Elizabeth Paige Hedgpath, O.D.

  • Optometrist
  • Jefferson City, MO
National Provider Identifier
1669441630
Registry record updated Aug 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
T03287 Issued in MO
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

Updated by the provider on Aug 3, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
22-01220OtherUNITED HEALTHCARE
126313OtherBLUE CROSS BLUE SHIELD MO
U64047OtherMERCY HEALTH PLANS
410048085OtherRAILROAD MEDICARE
MO3287OtherEYEMED
318612926MedicaidMO
83962OtherGROUP HEALTH PLAN
P00402866OtherMORR MEDICARE
22933OtherOPTICARE MED. COMPLETE
673825OtherHEALHLINK
410048085OtherILRR MEDICARE
4181OtherMOHEALTHCARE USA
318612934MedicaidMO

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
I20090623000314 MO Practitioner - Optometry 3971654443 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1996
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)

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
T03287MOMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Paige Hedgpath Odpc Optometrist CurrentSince Aug 1, 2002 Accepting new patients
Paige Hedgpath OD,PC Optometrist CurrentSince Aug 17, 2010 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.

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

Sources for this page

Verify at the official NPI Registry.