Amanda Adkisson, OD
Optometrist in Saint Louis, Missouri
1275150906- Practice location
- 6415 Chippewa St, Saint Louis, MO 63109-2104
- Phone
- 636-200-4393
- Fax
- —
- Last updated
- June 30, 2020
Amanda Adkisson is an Optometrist based in Saint Louis, MO. Amanda Adkisson practices in Saint Louis, MO and has the professional credentials of OD. The NPI Number for Amanda Adkisson is 1275150906 and holds a License No. 2020014802 (MO). The current practice location address for Amanda Adkisson is 6415 Chippewa St, Saint Louis, MO 63109-2104 and can be reached out via phone at 636-200-4393.
Provider Profile Details
- NPI Number
- 1275150906
- Provider Name
- Amanda Adkisson
- Credential
- OD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 6415 Chippewa St, Saint Louis, MO 63109-2104
- Phone Number
- 636-200-4393
- Primary Taxonomy
- Optometrist · 152W00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 29, 2020
- Last Update Date
- June 30, 2020
- Certification Date
- June 30, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 6415 Chippewa St
Saint Louis, MO 63109-2104 - City
- Saint Louis
- State
- Missouri
- Zip
- 63109-2104
- Phone Number
- 636-200-4393
Provider Business Mailing Address Details
- Address
- Po Box 207163
Dallas, TX 75320-7154 - City
- Dallas
- State
- TX
- Zip
- 75320-7154
- Phone Number
- 636-200-4393
License Information
- License Number
- 2020014802
- License State
- MO
- Taxonomy
- Optometrist · 152W00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Amanda Adkisson, OD?
The NPI number of Amanda Adkisson, OD is 1275150906. It was assigned on June 29, 2020 and is currently active in the NPPES registry.
What is the specialty of Amanda Adkisson, OD?
Amanda Adkisson, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in MO under license number 2020014802.
Where does Amanda Adkisson, OD practice?
The practice location is 6415 Chippewa St, Saint Louis, MO 63109-2104. The office can be reached at 636-200-4393 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1275150906 directly on the NPPES registry website.