Organization
PAIGE HEDGPATH ODPC
Active
Other names
Eyes On Missouri
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELIZABETH PAIGE HEDGPATH (PRESIDENT)
(573) 635-1313
Entity
Organization
Contact information
Practice address
1400 FORUM BLVD, COLUMBIA, MO 65203-1997
(573) 446-0331
(800) 432-6004
Mailing address
211 E BROADWAY, ALTON, IL 62002-6220
(618) 462-9818
(800) 432-6004
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1013072966
MEDICARE
MO
01
—
14070
SPECTERA
MO
01
—
1669441630
MEDICARE
MO
01
—
1669530887
MEDICARE
MO
01
—
1962644732
MEDICARE
MO
01
—
MA1757
MEDICARE
MO
01
—
MA1757001
MEDICARE
MO
01
—
MA1757002
MEDICARE
MO
Enumeration date
12/04/2006
Last updated
04/21/2017
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