Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Amy Marie Neideffer

Individual provider Optometrist · NPI 1114663291

Amy Marie Neideffer is an Optometry in Caldwell, Idaho. Graduated from Pacific University - College of Optometry in 2022, 4 years ago. Practices with Idaho Eyecare Center, a 4-clinician group and accepts Medicare assignment. Licensed in Idaho and Oklahoma.

Years since qualifying
4
Trained at
Pacific University - College of Optometry
Licensed in
ID, OK
In the registry since
2022
Specialties on file
3
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Practice location Address checks out

1702 S Kimball Ave
Caldwell, ID 83605-4826
Phone: (208) 459-2641
Fax: (208) 459-2895
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence ODP-100618 (ID)
Optometrist Taxonomy 152W00000X · Licence 3189 (OK)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1114663291
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 11, 2022
Last updated in NPPESAugust 14, 2023
Certification dateAugust 14, 2023
Mailing address1702 S Kimball Ave, Caldwell, ID 83605-4826

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolPACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Graduated 2022 (4 years in practice)
Group practice Idaho Eyecare Center — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Caldwell