4STATES VISION EXPRESS
NPI 1003320607
Optometrist in Joplin, MO

Q: What is Gracie Chase Avery, LLC's NPI number?

The NPI number for Gracie Chase Avery, LLC is 1003320607. It was assigned to this organization in the NPPES registry on November 20, 2017. The provider is doing business as 4states Vision Express.

Q: What is Gracie Chase Avery, LLC's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Active since November 20, 2017

1701 W 26TH ST STE E, JOPLIN, MO 64804(417) 925-2366(417) 925-2367 Get Directions Write a Review

NPPES record last updated: October 16, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 16, 2020, Nov 20, 2017 (2 updates tracked since 2017).

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About 4states Vision Express NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

4STATES VISION EXPRESS (NPI 1003320607) is a healthcare organization registered as an optometrist in Joplin, Missouri and active in the NPI registry since November 2017. The organization maintains a secondary practice location in Pineville and lists Kevin Michael Gardner, Owner, as its authorized official.

NPPES Registry Identity

NPI1003320607

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameGRACIE CHASE AVERY, LLC

Location Address1701 W 26TH ST STE EJoplin, MO 64804-1513

Mailing Address1701 W 26th St Ste EJoplin, MO 64804-1513 · (417) 925-2366 · Fax (417) 925-2367

Phone(417) 925-2366

Fax(417) 925-2367

Organization SubpartNo

Authorized OfficialKevin Michael GardnerOwner · (417) 499-7715

Enumeration DateNovember 20, 2017

Last NPPES UpdateOctober 16, 20202 updates tracked since enumeration

NPPES CertifiedOctober 16, 2020

✔ NPI 1003320607 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in MO · T03487

Definition

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.

1701 W 26TH ST STE E, Joplin, MO 64804

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Other Names 1

Doing Business As4states Vision Express

Secondary Practice Location 1

Location 15265 South Business 71, Suite B3Pineville, MO 64856 · Phone (417) 223-3937 · Fax (417) 223-3938

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

4states Vision Express is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 3 clinicians reassign Medicare billing to 4states Vision Express, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Jamie Buckingham, OD

Optometry

NPI 1548735590

1701 W 26TH ST STE E
Joplin, MO 64804

(417) 952-2366

✔ PECOS✔ Accepts MedicareSame address

Madison White, OD

Optometry

NPI 1245914456

1701 W 26TH ST STE E
Joplin, MO 64804

(417) 952-2366

✔ PECOS✔ Accepts MedicareSame address

Kevin Gardner, OD

Optometry

NPI 1346358769

1531 W 32ND STREET SUITE 102
Joplin, MO 64804

(417) 781-3630

✔ PECOS✔ Accepts Medicare2.2 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gracie Chase Avery, LLC's NPI number?

The NPI number for Gracie Chase Avery, LLC is 1003320607. It was assigned to this organization in the NPPES registry on November 20, 2017. The provider is doing business as 4states Vision Express.

Where is Gracie Chase Avery, LLC located?

Gracie Chase Avery, LLC is located at 1701 W 26th St Ste E, Joplin, MO 64804. The listed phone number is (417) 925-2366.

What is Gracie Chase Avery, LLC's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Gracie Chase Avery, LLC enrolled in Medicare?

Yes. Gracie Chase Avery, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Gracie Chase Avery, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Optometry, reassign their Medicare billing to Gracie Chase Avery, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Gracie Chase Avery, LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 10 other insurers list Gracie Chase Avery, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Gracie Chase Avery, LLC was last updated on October 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.