Gracie Chase Avery, LLC
NPI 1003320607ActiveOrganization· Optometrist· Joplin, MO
Optometrist in Joplin, Missouri, registered in NPPES in November 2017. The authorized official on file is Kevin Michael Gardner, OD, Owner. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1003320607 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 20, 2017 |
| Last updated in NPPES | Oct 31, 2026 |
| Certified by provider | Oct 31, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | T03487 | MO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (KS); Part B Supplier - Clinic/Group Practice (MO) |
|---|
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