Individual provider Active NPI

Laura M. Hegyi, O.D.

  • Optometrist
  • Saint Peters, MO
National Provider Identifier
1689643249
Registry record updated Nov 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2004030856 Issued in MO
Practice address
227 Salt Lick Rd
Saint Peters, MO 63376-5974
Phone
(636) 970-0250
Fax
(636) 276-1061
NPI assigned
Mar 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2004030856 MO Primary
Optometrist 152W00000X 18003019 IN

Addresses

Primary practice location

227 Salt Lick Rd
Saint Peters, MO 63376-5974

Mailing address

40 E North St
Eureka, MO 63025-1205
Phone (636) 200-4393

Other identifiers 1

IdentifierTypeStateIssuer
1689643249MedicaidMO

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
I20050217000100 MO Practitioner - Optometry 9335191428 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
O'Fallon Family Eye Care LLCGroup PAC ID 0143406223, 2 clinicians

Practice addresses (Care Compare)

4142 Keaton Crossing Blvd
O Fallon, MO 63368-8403
Phone (636) 614-4655

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18003019INMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Clarkson Optometry, Inc Optometrist CurrentSince Aug 20, 2014 Accepting new patients
Clarkson Optometry Inc Optometrist CurrentSince Aug 20, 2014 Accepting new patients
O'Fallon Family Eye Care LLC Optometrist CurrentSince Nov 14, 2024 Accepting new patients
SVS Vision Inc Optometrist Past Accepting new patients
Anthony Guadagno, O.D., P.C. Optometrist PastSince Sep 1, 2010 Accepting new patients
Nu-Crown, LLC Optometrist Past Accepting new patients

Locations

6313 Ronald Reagan Dr
Lake St Louis, MO 63367
Phone (636) 561-2342

4142 Keaton Crossing Blvd
Ste 103
O Fallon, MO 63368
Phone (636) 614-4655

4142 Keaton Crossing Blvd
Ste 102
O Fallon, MO 63368
Phone (636) 205-4639

330 W Osage St
Pacific, MO 63069
Phone (636) 271-4500

3122 S Grand Blvd
Saint Louis, MO 63118
Phone (314) 450-7313

227 Salt Lick Rd
Saint Peters, MO 63376
Phone (636) 970-0250

Interoperability endpoints

  • Direct secure messaging: laurahegyi@direct.eyecare-partners.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416268800000",
    "number": "1689643249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 E NORTH ST",
            "city": "EUREKA",
            "state": "MO",
            "postal_code": "630251205",
            "telephone_number": "636-200-4393",
            "fax_number": "636-938-2650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 SALT LICK RD",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633765974",
            "telephone_number": "636-970-0250",
            "fax_number": "636-276-1061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEGYI",
        "first_name": "LAURA",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-16",
        "last_updated": "2014-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2004030856",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003019",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1689643249",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Peters, MO

Sources for this page

Verify at the official NPI Registry.