| Amy J. Knickerbocker, Llc | |
|
7 Oak Ridge Pond Rd, Hannibal, MO 63401-6539 | |
| (573) 406-5276 | |
| (573) 406-1503 |
| Full Name | Amy J. Knickerbocker, Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 7 Oak Ridge Pond Rd, Hannibal, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457763658 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 2000143624 (Missouri) | Primary |
| Provider Name | Amy J Knickerbocker |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1578517306 PECOS PAC ID: 9739191644 Enrollment ID: I20090424000370 |
| Mailing Address | Practice Location Address |
|---|---|
| Amy J. Knickerbocker, Llc 3650 Stardust Dr, Hannibal, MO 63401-2480 Ph: (573) 406-1503 | Amy J. Knickerbocker, Llc 7 Oak Ridge Pond Rd, Hannibal, MO 63401-6539 Ph: (573) 406-5276 |
Kenneth R Mueller, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 215 Progress Rd, Hannibal, MO 63401 Phone: 573-248-1616 Fax: 573-248-1963 | |
Paul Tracy Od Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3650 Stardust Dr, Hannibal, MO 63401 Phone: 573-406-1503 Fax: 573-406-1057 | |
Dr. Kent Randall Wolber, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 175 Shinn Ln, Hannibal, MO 63401 Phone: 573-406-5730 Fax: 573-406-1369 | |
International Eyecare Center, Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 215 Progress Rd, Hannibal, MO 63401 Phone: 573-248-1616 | |
Main Street Eye Clinic-a Division Of Iec Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3201 Highway 61, Suite A, Hannibal, MO 63401 Phone: 573-248-3937 Fax: 573-221-4393 | |
Main Street Eye Clinic Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3201 Highway 61, Hannibal, MO 63401 Phone: 573-248-3937 Fax: 573-221-4393 | |
Dr. Elizabeth Marie Monroe, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 175 Shinn Ln, Hannibal, MO 63401 Phone: 573-248-0008 Fax: 573-248-3097 |