National Provider Identifier Database

AMY J KNICKERBOCKER, OD – NPI #1578517306
Optometrist

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye.


Contact Information

AMY J KNICKERBOCKER, OD
3650 STARDUST DRIVE
HANNIBAL, MO63401
Phone: 573-406-1503
Fax: 573-406-1057
Website:
Specialty Taxonomy Code
* Optometrist 152W00000X

* Indicates primary specialty

NPI Profile & details for AMY J KNICKERBOCKER

NPI Number 1578517306
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 05/19/2006
Last updated 03/25/2014 - About 12 years ago
Sole proprietor1 Yes
Identifiers
  • IL License #: 046009247
  • MO License #: 200143624
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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