Kevin M Gardner, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

TO3487 Issued in MO

Practice address

1703 W 30TH St Ste B
Joplin, MO 64804-1519

Phone

(417) 952-2366

NPI assigned

Aug 27, 2006

Last updated

Oct 31, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MO, AR, KS3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 3

Specialty

Optometry

Education

University of Missouri St Louis - School of Optometry, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gracie Chase Avery LLCGroup PAC ID 7810253663, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Gracie Chase Avery, LLC

  dba 4States Vision Express

  • Optometrist
  • Joplin, MO
  • NPI 1003320607

  KS

  Medicare reassignment Care Compare group NPD Authorized official
• Piper's Vision Xpress, LLC

  dba Vision Xpress

  • Optometrist
  • Mountian Home, AR
  • NPI 1093279275
  Medicare reassignment NPD Authorized official
• Wimmer P.a.

  • Optometrist
  • Pittsburg, KS
  • NPI 1962517136
  NPD
• Gary D. Neymeyer, O.D., P.C.

  • Optometrist
  • Pineville, MO
  • NPI 1639365372
  NPD (past)
• Lewis Optical, Inc

  • Eyewear Supplier
  • Joplin, MO
  • NPI 1659379568
  NPD (past)
• Midwest Eye Associates, Inc.

  • Optometrist
  • Saint Charles, MO
  • NPI 1215159504
  NPD (past)
• Vold Vision PLLC

  • Glaucoma Specialist (Ophthalmology) Physician
  • Winter Garden, FL
  • NPI 1558657619

  Optometrist

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1793404800000",
    "number": "1346358769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1703 W 30TH ST STE B",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648041519",
            "telephone_number": "417-952-2366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1703 W 30TH ST STE B",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648041519",
            "telephone_number": "417-952-2366"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "411 E Centennial Dr",
            "address_purpose": "LOCATION",
            "city": "Pittsburg",
            "state": "KS",
            "postal_code": "667626505",
            "country_code": "US",
            "telephone_number": "620-232-1005",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "114 W Main St",
            "address_purpose": "LOCATION",
            "city": "Neosho",
            "state": "MO",
            "postal_code": "648501712",
            "country_code": "US",
            "telephone_number": "417-223-3937",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "KEVIN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-27",
        "last_updated": "2026-10-31",
        "certification_date": "2026-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2653",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "TO3487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chloee Ann Garcia
• Luz Isabel Garcia
• Nathalie Garcia
• Christopher Garde, CRNA
• Janelle T Gardner
• Trista Gardner
• Adam Garman
• Mercedes Garman, DO
• Carolynn G Garner
• Hernan Javier Garreaud, PA-C

• Optometrist in Joplin, MO
• Providers in Joplin, MO by specialty
• Optometrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.