NPIMap

Organization Active NPI

Paige Hedgpath OD,PC

Doing business as Eyes On Missouri

  • Optometrist
  • Jefferson City, MO
National Provider Identifier
1962644732
Registry record updated Aug 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TO3287 Issued in MO
Legal business name
PAIGE HEDGPATH OD,PC
Doing business as
Eyes On Missouri
Practice address
1709 Missouri Boulevard
Units Ijk
Jefferson City, MO 65101-3105
Phone
(573) 635-1313
Fax
(573) 634-8500
NPI assigned
Mar 25, 2009
Last updated
Aug 13, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2024

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

Authorized official

Name
Dr. Elizabeth Paige Hedgpath, ODNPI 1669441630
Title
President
Phone
(573) 635-1313

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X TO3287 MO Primary

Addresses

Primary practice location

1709 Missouri Boulevard
Units Ijk
Jefferson City, MO 65101-3105

Mailing address

323 Monroe St
Jefferson City, MO 65101-3105
Phone (573) 635-1313

Other names 1

  • Eyes On Missouri Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090623000274 MO Part B Supplier - Clinic/Group Practice 5991856460 Receives reassigned benefits from 81 practitioners
1 other NPI on this enrollment
Practice locations: Saint Louis, MO; Raytown, MO; Raymore, MO; Osage Beach, MO; Manchester, MO; Lees Summit, MO; Jefferson City, MO; Gravois Mills, MO…

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

1116 W 40 Hwy
Blue Springs, MO 64015
Phone (816) 229-2020

117 S Business Route 5
Camdenton, MO 65020
Phone (573) 346-5951

1709 Missouri Blvd
Jefferson City, MO 65109
Phone (573) 635-1313

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

4645 Osage Beach Pkwy
Ste G
Osage Beach, MO 65065
Phone (573) 635-1313

6708 Raytown Rd
Raytown, MO 64133
Phone (816) 353-1872

Practitioners & affiliated clinicians

Practitioners 82

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 82

NPI Registry JSON

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

{
    "created_epoch": "1237939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723507200000",
    "number": "1962644732",
    "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": "1709 MISSOURI BOULEVARD",
            "address_2": "UNITS IJK",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651013105",
            "telephone_number": "573-635-1313",
            "fax_number": "573-634-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIGE HEDGPATH OD,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-25",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-06",
        "status": "A",
        "authorized_official_last_name": "HEDGPATH",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "PAIGE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "573-635-1313",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MO",
            "license": "TO3287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eyes On Missouri",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jefferson City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.