Larry Michael Chism in Tyler - Optometrist
Larry Michael Chism - NPI 1376670216
Larry Michael Chism is a Optometrist in Tyler, Texas. Larry Michael Chism practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Larry Michael Chism is 1376670216. The last update date is 2007-07-08.
Larry Michael Chism's current location address is 136 Shelley Dr, Tyler, Texas. You can contact this provider via phone number 9035618686 and fax number 9065811518. The mailing address for Larry Michael Chism is 136 Shelley Dr, Tyler, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Larry Michael Chism |
|---|---|
| Address | 136 Shelley Dr, Tyler, Texas |
| Phone Number | 9035618686 |
| Fax Number | 9065811518 |
| Sole Proprietor | Y |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1376670216 |
|---|---|
| Provider Enumeration Date | 2007-02-27 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 136 Shelley Dr |
|---|---|
| City | Tyler |
| State | Texas (TX) |
| Post Code | 757018723 |
| Phone Number | 9035618686 |
| Fax Number | 9065811518 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 02774TG |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 909986 | TX | BLOCK VISION | |
| 48849 | TX | DAVIS VISION | |
| 390950001 | TX | PALMETTO GBA MEDICARE | |
| 8379 | TX | SPECTERA | |
| 552688 | TX | NVA | |
| 81381Q | TX | BLUECROSSBLUESHIELD |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Larry Michael Chism by the Centers for Medicare & Medicaid Services?
The Larry Michael Chism has been assigned the NPI (National Provider Identifier) 1376670216 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Larry Michael Chism?
The Larry Michael Chism is physically situated at 136 Shelley Dr, in the city of Tyler, state of TX, with the postal code 757018723.
What is the Larry Michael Chism's area of specialization and corresponding taxonomy classification?
The Larry Michael Chism's specialty field is Optometrist, and it falls under the taxonomy code 152W00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1376670216 to Larry Michael Chism?
The Larry Michael Chism received its 1376670216 assignment from the Centers for Medicare & Medicaid Services on 2007-02-27.
As of what date was the information regarding Larry Michael Chism, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Larry Michael Chism, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
NPI Number: 1366446767
Address: 835 Se Bishop Blvd, Pullman, WA