Healthcare Provider Details

I. General information

NPI: 1598873911
Provider Name (Legal Business Name): AMBER TROYER OD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/26/2006
Last Update Date: 06/27/2022
Certification Date: 06/27/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 N 2ND ST APT C
ODESSA MO
64076-1393
US

IV. Provider business mailing address

4240 BLUE RIDGE BLVD STE 1000
KANSAS CITY MO
64133-1754
US

V. Phone/Fax

Practice location:
  • Phone: 816-230-5321
  • Fax: 165-652-2888
Mailing address:
  • Phone: 816-358-3600
  • Fax: 816-358-1887

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number2001018099
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: