Provider Demographics
NPI:1659364917
Name:AMSTERDAM, DAVID MICHAEL (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:MICHAEL
Last Name:AMSTERDAM
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:4801 S CLIFF AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:INDEPENDENCE
Mailing Address - State:MO
Mailing Address - Zip Code:64055-7015
Mailing Address - Country:US
Mailing Address - Phone:816-478-1230
Mailing Address - Fax:816-478-4413
Practice Address - Street 1:11500 GRANADA ST
Practice Address - Street 2:DISCOVER VISION CENTERS
Practice Address - City:LEAWOOD
Practice Address - State:KS
Practice Address - Zip Code:66211-1453
Practice Address - Country:US
Practice Address - Phone:816-478-1230
Practice Address - Fax:816-350-6980
Is Sole Proprietor?:No
Enumeration Date:2005-08-23
Last Update Date:2011-12-19
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Provider Licenses
StateLicense IDTaxonomies
KS0430517207W00000X
MO2004006973207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
P00191947OtherRAILROAD MEDICARE
I03429Medicare UPIN
P00191947OtherRAILROAD MEDICARE