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GRACIE CHASE AVERY LLC NPI 1003320607


NPI Information

NPI: 1003320607
Provider Name: GRACIE CHASE AVERY, LLC

Doing Business As: 4STATES VISION EXPRESS

Classification: Optometrist - 152W00000X
Entity Type: Organization
Address:
1701 W 26TH ST STE E
JOPLIN, MO
ZIP 64804
Phone: (417) 925-2366
Get Directions

GRACIE CHASE AVERY, LLC is an optometrist in Joplin, MO. The provider is doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. GRACIE CHASE AVERY, LLC NPI is 1003320607. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As 4states Vision Express.

The provider's business location address is:

1701 W 26TH ST STE E
JOPLIN, MO
ZIP 64804-513
Phone: (417) 925-2366
Fax: (417) 925-2367

The provider's authorized official is Kevin Michael Gardner .
The authorized official title is Owner and has the following contact phone number (417) 499-7715.

The enumeration date for this NPI number is 11/20/2017 and was last updated on 10/16/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1152W00000XOptometristT03487MISSOURIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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