Provider Demographics
NPI:1598873911
Name:TROYER, AMBER (OD)
Entity Type:Individual
Prefix:
First Name:AMBER
Middle Name:
Last Name:TROYER
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4240 BLUE RIDGE BLVD STE 1000
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64133-1754
Mailing Address - Country:US
Mailing Address - Phone:816-358-3600
Mailing Address - Fax:816-358-1887
Practice Address - Street 1:201 N 2ND ST APT C
Practice Address - Street 2:
Practice Address - City:ODESSA
Practice Address - State:MO
Practice Address - Zip Code:64076-1393
Practice Address - Country:US
Practice Address - Phone:816-230-5321
Practice Address - Fax:165-652-2888
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-26
Last Update Date:2022-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2001018099152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
U86653Medicare UPIN
000B298Medicare ID - Type Unspecified