| 4states Vision Express | |
|
1703 W 30th St Ste B, Joplin, MO 64804-1519 | |
| (417) 952-2366 | |
| (417) 952-2367 |
| Full Name | 4states Vision Express |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1703 W 30th St Ste B, Joplin, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003320607 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | T03487 (Missouri) | Primary |
| Provider Name | Kevin M Gardner |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1346358769 PECOS PAC ID: 5294832200 Enrollment ID: I20070525000026 |
| Provider Name | Jamie Buckingham |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1548735590 PECOS PAC ID: 4688007750 Enrollment ID: I20210120002115 |
| Provider Name | Madison S White |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1245914456 PECOS PAC ID: 3274994942 Enrollment ID: I20230727001267 |
| Mailing Address | Practice Location Address |
|---|---|
| 4states Vision Express 1703 W 30th St Ste B, Joplin, MO 64804-1519 Ph: (417) 952-2366 | 4states Vision Express 1703 W 30th St Ste B, Joplin, MO 64804-1519 Ph: (417) 952-2366 |
George T Meade, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 11216 Birch Drive, Joplin, MO 64804 Phone: 417-206-0411 Fax: 417-206-0411 |
Coleman Vision Optometrist Medicare: Medicare Enrolled Practice Location: 1030 Se Murphy Blvd, Joplin, MO 64801 Phone: 417-782-3488 Fax: 417-782-8150 |
Lazenby Optometry Associates Inc Optometrist Medicare: Medicare Enrolled Practice Location: 2318 E. 32nd St., Suite A, Joplin, MO 64804 Phone: 417-206-0399 Fax: 417-206-0567 |
Dr. Rebecca J. Stilley, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1602 S. Rangeline Rd., Joplin, MO 64804 Phone: 417-553-9903 Fax: 417-385-1955 |
Madison Sue White, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1703 W 30th St, Joplin, MO 64804 Phone: 417-952-2366 Fax: 417-952-2367 |
Advance Eyecare Associates Llc Optometrist Medicare: Medicare Enrolled Practice Location: 5832 N Main St, Joplin, MO 64801 Phone: 417-623-7900 Fax: 417-623-0559 |
Dr. Melissa Y Brown, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2013 S Joplin Ave, Joplin, MO 64804 Phone: 417-624-5005 Fax: 417-624-5215 |