Organization
PIPER'S VISION XPRESS, LLC
Active
Other names
Vision Xpress
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN GARDNER OD (OWNER/PROVIDER)
(417) 499-7715
Entity
Organization
Contact information
Practice address
50 PAUL WOOD LANE, MOUNTIAN HOME, AR 72653
(870) 492-2419
(870) 492-2418
Mailing address
50 PAUL WOOD LANE, MOUNTIAN HOME, AR 72653
(870) 492-2419
(870) 492-2418
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1346358769
—
MO
Enumeration date
01/22/2019
Last updated
11/20/2023
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