Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. AMY JOANNE KNICKERBOCKER, O.D.
Active Sole ProprietorDR. AMY JOANNE KNICKERBOCKER, O.D. is a Optometrist healthcare provider located in HANNIBAL, Missouri. NPI 1578517306 is currently active in the NPPES registry. Verify at CMS.
Optometrist · HANNIBAL, MO
Registration Details
- NPI Number
- 1578517306
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 19, 2006 (20.209350681604 yrs)
- Last Updated
- Mar 25, 2014
- Licenses
-
200143624 (MO)046009247 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3650 STARDUST DRIVEHANNIBAL, MO, 63401Browse MO providers · Browse ZIP 63401
- Phone
- 5734061503
- Fax
- 5734061057
- Primary Specialty
-
Optometrist
152W00000X
- Additional Specialty
- Optometrist
Other Optometrist Providers in HANNIBAL, MO
| Name | Credential | NPI |
|---|---|---|
| DR. KENT RANDALL WOLBER | O.D. | 1104883560 |
| KENNETH R MUELLER | O.D. | 1013966076 |
| DR. MARSHALL VERNON MUNCH | O.D. | 1962441220 |
| DR. CATHRYN LORRAINE AHEARN | OD | 1881606200 |
| DR. ELIZABETH MARIE MONROE | O.D. | 1356687412 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.