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Contact Information

PAIGE HEDGPATH O.D,P.C.
1709 MISSOURI BOULEVARD
SUITE IJK
JEFFERSON CITY, MO65109
 Phone: 573-635-1313
 Fax: 800-432-6004
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for PAIGE HEDGPATH O.D,P.C.

NPI Number 1376601484
LBN Legal business name PAIGE HEDGPATH O.D,P.C.
Authorized official CATHY SHORT - (CREDENTIALING MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/04/2006
Last updated 06/27/2024 - More than a year ago
Identifiers
Other 14072 SPECTERA
MO Other 1013072966 MEDICARE
MO Other 1376601484 MEDICARE
MO Other 1669441630 MEDICARE
MO Other 1962644732 MEDICARE
MO Other MA1757 MEDICARE
MO Other MA1757001 MEDICARE
MO Other MA1757002 MEDICARE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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