Individual
DR. ELIZABETH PAIGE HEDGPATH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
323 MONROE ST, JEFFERSON CITY, MO 65101-3105
(573) 635-1313
(800) 432-6004
Mailing address
323 MONROE ST, JEFFERSON CITY, MO 65101-3105
(573) 635-1313
(573) 634-8500
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T03287
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
126313
BLUE CROSS BLUE SHIELD MO
—
01
—
22-01220
UNITED HEALTHCARE
—
01
—
22933
OPTICARE MED. COMPLETE
—
05
—
318612926
—
MO
05
—
318612934
—
MO
01
—
410048085
RR MEDICARE
IL
01
—
410048085
RAILROAD MEDICARE
—
01
—
4181
HEALTHCARE USA
MO
01
—
673825
HEALHLINK
—
01
—
83962
GROUP HEALTH PLAN
—
01
—
MO3287
EYEMED
—
01
—
P00402866
RR MEDICARE
MO
01
—
U64047
MERCY HEALTH PLANS
—
Enumeration date
03/14/2006
Last updated
08/03/2011
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