4States Vision Express

LBN: Gracie Chase Avery, Llc
4States Vision Express is an health care organization with primary practice located at 1701 W 26Th St Ste E , Joplin MO 64804-1513. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Gracie Chase Avery, Llc can be contacted via phone (417) 925-2366, or through Gardner, Kevin Michael via phone (417) 499-7715.

Contact Information

Primary practice address
1701 W 26Th St Ste E Joplin MO 64804-1513
Phone: (417) 925-2366
Fax: (417) 925-2367
Website:
Map and Directions
Authorized official contact:
Name: Gardner, Kevin Michael Doctor of Optometry (OD)
Phone: (417) 499-7715

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X T03487 Missouri

Profile Details

NPI number 1003320607
LBN Legal business name Gracie Chase Avery, Llc
DBA Doing business as 4States Vision Express
Authorized official Gardner, Kevin Michael Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 20th, 2017
Last updated Oct 16th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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