Gracie Chase Avery, LLC

NPI #1003320607 in Joplin, Missouri

Provider Information

NPI Number: 1003320607
Entity Type: Organization
Organization Name: Gracie Chase Avery, LLC
Primary Specialty: Optometrist
Enumeration Date: Nov 20, 2017
Last Updated: Oct 16, 2020

Practice Location

Address: 1701 W 26TH ST STE E
City: Joplin
State: Missouri
ZIP Code: 64804-1513
Phone: (417) 925-2366

Authorized Official

Name: DR. KEVIN MICHAEL GARDNER, OD
Title: OWNER
Phone: (417) 499-7715

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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