OrganizationActive
Amy J. Knickerbocker, LLC
NPI 1457763658 · Optometrist · Hannibal, MO
Provider details
- NPI number
- 1457763658
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Amy Knickerbocker, Optometrist(573) 406-5276
- License
- 2000143624 (MO)
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
7 Oak Ridge Pond Rd
Hannibal, MO 63401-6539
Phone: (573) 406-5276
Fax: (573) 406-1503
Approximate (ZIP-level) locationGet directions
Mailing address
3650 Stardust Dr
Hannibal, MO 63401-2480
Registry dates
- Enumerated
- 2014-05-22
- Last updated
- 2014-05-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.