Organization
PAIGE HEDGPATH OD,PC
Active
Other names
Eyes On Missouri
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELIZABETH PAIGE HEDGPATH OD (PRESIDENT)
(573) 635-1313
Entity
Organization
Contact information
Practice address
1709 MISSOURI BOULEVARD, UNITS IJK, JEFFERSON CITY, MO 65101-3105
(573) 635-1313
(573) 634-8500
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
TO3287
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1013072966
MEDICARE
MO
01
—
1376601484
MEDICARE
MO
01
—
1669441630
MEDICARE
MO
01
—
1669530887
MEDICARE
MO
01
—
1962644732
MEDICARE
MO
01
—
410048085
RAILROAD MEDICARE
—
01
—
MA1757
MEDICARE
MO
01
—
MA1757001
MEDICARE
MO
01
—
MA1757002
MEDICARE
MO
Enumeration date
03/25/2009
Last updated
08/13/2024
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