Individual
DR. AMY E CICCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1147 E NORTH AVE, BELTON, MO 64012-5105
(816) 322-6100
(913) 362-0407
Mailing address
8800 W 75TH ST STE 140, SHAWNEE MISSION, KS 66204-4001
(913) 362-3210
(913) 362-0407
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
2006019869
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36749014
BCBS- SL LOCATION
MO
01
—
36749024
BCBS- CC LOCATION
MO
Enumeration date
05/22/2006
Last updated
07/08/2025
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