IndividualActive
Amanda Edmiston, OD
NPI 1699451286 · Optometrist · Saint Peters, MO
Provider details
- NPI number
- 1699451286
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- OD
- Sex
- Female
- Sole proprietor
- No
- License
- 2023022826 (MO)
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
3821 Veterans Memorial Pkwy
Saint Peters, MO 63376-6416
Phone: (636) 928-1111
Approximate (ZIP-level) locationGet directions
Mailing address
9979 Winghaven Blvd Ste 210
O Fallon, MO 63368-3628
Additional practice locations (2)
- 222 S Woods Mill Rd Ste 660Chesterfield, MO 63017-3625Phone: (314) 878-9902
- 5551 Winghaven Blvd Ste 190O Fallon, MO 63368-3618Phone: (636) 695-2550
Registry dates
- Enumerated
- 2023-06-27
- Last updated
- 2025-02-21
- Certified
- 2025-02-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.