NPI 1003320607

Gracie Chase Avery, LLC

Organisation Optometrist Joplin, MO

Practice location

Address: 1701 W 26th St STE E, Joplin, MO 64804-1513
Phone: (417) 925-2366
Fax: (417) 925-2367

Authorised official

Name: Kevin Michael Gardner
Title: Owner
Phone: (417) 499-7715

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence T03487 (MO)

Other Optometrist providers in Missouri →

Registry record

NPI: 1003320607
Entity type: Organization
NPI issued: 20 Nov 2017
Record last updated: 16 Oct 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.