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, OD is a Optometrist based in Saint Louis, MO. Amanda Adkisson, OD holds the professional credentials of OD. The NPI number for Amanda Adkisson, OD is 1275150906 and holds license No. 2020014802 (MO). The current practice location address is 6415 Chippewa St, Saint Louis, MO 63109-2104 and the office can be reached by phone at 636-200-4393. The NPI was assigned on June 29, 2020 and the record was last updated in NPPES on June 30, 2020.
●Provider Profile Details
- NPI Number
- 1275150906
- Provider Name
- Amanda Adkisson
- Credential
- OD
- Entity Type
- Individual (Type 1 NPI)
- Gender
- Female
- Primary Taxonomy
- Optometrist · 152W00000X
- Sole Proprietor
- No
- Enumeration Date
- June 29, 2020
- Last Update Date
- June 30, 2020
- Certification Date
- June 30, 2020
- NPI Status
- Active
◉Business Practice Location Address
- Address
- 6415 Chippewa St
Saint Louis, MO 63109-2104 - City
- Saint Louis
- State
- Missouri
- ZIP
- 63109-2104
- Country
- US
- Phone Number
- 636-200-4393
✉Business Mailing Address
- Address
- Po Box 207163
Dallas, TX 75320-7154 - City
- Dallas
- State
- TX
- ZIP
- 75320-7154
- Phone Number
- 636-200-4393
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Optometrist | 152W00000X | Yes | 2020014802 | MO |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
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View all providers in Saint Louis →?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) and holds license No. 2020014802 (MO).
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 at npiregistry.cms.hhs.gov.