Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Amy Joanne Knickerbocker, OD

Individual provider Optometrist · NPI 1578517306

Dr. Amy Joanne Knickerbocker, OD is an Optometry in Hannibal, Missouri. Graduated from Southern College of Optometry in 1999, 27 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Illinois and Missouri.

Years since qualifying
27
Trained at
Southern College of Optometry
Licensed in
IL, MO
In the registry since
2006
Specialties on file
2
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

3650 Stardust Dr
Hannibal, MO 63401
Phone: (573) 406-1503
Fax: (573) 406-1057
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 200143624 (MO)
Optometrist Taxonomy 152W00000X · Licence 046009247 (IL)

Record details

NPI number1578517306
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorYes
NPI enumeratedMay 19, 2006
Last updated in NPPESMarch 25, 2014

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolSOUTHERN COLLEGE OF OPTOMETRY
Graduated 1999 (27 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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