Amy J. Knickerbocker, LLC
NPI 1457763658 · Optometrist · Hannibal, MO
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Amy J. Knickerbocker, LLC is a Optometrist organization in Hannibal, MO (NPI 1457763658).
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
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2014-05-22
- Last updated
- 2014-05-22
Frequently asked questions
- What is Amy J. Knickerbocker, LLC's NPI number?
- Amy J. Knickerbocker, LLC's National Provider Identifier (NPI) is 1457763658, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Amy J. Knickerbocker, LLC?
- Amy J. Knickerbocker, LLC is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Amy J. Knickerbocker, LLC located?
- Amy J. Knickerbocker, LLC's practice location on file with NPPES is 7 Oak Ridge Pond Rd, Hannibal, MO 63401-6539.
- What is Amy J. Knickerbocker, LLC's phone number?
- The practice phone number listed in the NPPES registry for Amy J. Knickerbocker, LLC is (573) 406-5276.
- Does Amy J. Knickerbocker, LLC accept Medicare?
- Amy J. Knickerbocker, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Amy J. Knickerbocker, LLC?
- The authorized official listed on Amy J. Knickerbocker, LLC's NPPES record is Amy Knickerbocker, Optometrist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Amy J. Knickerbocker, LLC's NPI active?
- Yes — Amy J. Knickerbocker, LLC's NPI (1457763658) is active in the NPPES registry as of the last update on 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.