Lacey Dawn Hedges, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2012027800 Issued in MO

Practice address

5811 NW Barry Rd
Kansas City, MO 64154-1494

Phone

(913) 261-2020

Fax

(913) 261-2090

NPI assigned

Aug 8, 2012

Last updated

Dec 12, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in KS, AK2 enrollments

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 2

Specialty

Optometry

Education

Southern College of Optometry, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Lacey Hedges OD LLC

  • Health Service Clinic/Center
  • Wasilla, AK
  • NPI 1083323216
  Medicare reassignment NPD Authorized official
• Grene Vision Group LLC

  • Ophthalmology Physician
  • Wichita, KS
  • NPI 1285627562

  Optometrist

  Medicare reassignment NPD
• Grene Vision Group LLC

  dba Grene Vision Group

  • Optometrist
  • Wichita, KS
  • NPI 1598215006
  NPD
• Sabates Eye Centers PA

  • Durable Medical Equipment & Medical Supplies
  • Kansas City, MO
  • NPI 1093837528
  NPD (past)

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

{
    "created_epoch": "1344384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386806400000",
    "number": "1952658023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11261 NALL AVE",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662111669",
            "telephone_number": "913-261-2020",
            "fax_number": "913-261-2090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5811 NW BARRY RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641541494",
            "telephone_number": "913-261-2020",
            "fax_number": "913-261-2090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEDGES",
        "first_name": "LACEY",
        "middle_name": "DAWN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-08",
        "last_updated": "2013-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1917",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2012027800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Ruth Heck, DNP PMHNP-BC, LPC-NB
• Nathan Roger Heckerson, MD
• Kari Leigh Heckman
• Riley Hedberg, MD
• Ada L Hedger, PLPC
• Chandler M Hedrick
• Sherri Ann Hedrick, RPT
• Bryce Aric Heese, MD
• Ned U Heese, DC
• Eric Patrick Heffern, MD

• Optometrist in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Optometrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2013; 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.

Verify at the official NPI Registry.