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MICHAEL T CHISM OPTOMETRY STUDENT NPI 1770866840


NPI Information

NPI: 1770866840
Provider Name: MICHAEL T CHISM, OPTOMETRY STUDENT
Classification: Student in an Organized Health Care Education/Training Program - 390200000X
Entity Type: Individual
Organization: PROGRESSIVE EYE CARE, LLC

PECOS Registration: Yes

Address:
6344 S 900 E
MURRAY, UT
ZIP 84121
Phone: (801) 892-8222
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Michael T Chism, OPTOMETRY STUDENT is a student in an organized health care education training program in Murray, UT with 9 years of experience. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Michael T Chism, OPTOMETRY STUDENT NPI is 1770866840. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: WESTERN UNIVERSITY OF HEALTH SCIENCES COLLEGE OF DENTAL MED
Graduation Year:2015

The provider's business location address is:

6344 S 900 E
MURRAY, UT
ZIP 84121-439
Phone: (801) 892-8222

The NPI 1770866840 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Eye and medical examination for diagnosis and treatment, established patient (HCPCS:92012)

The enumeration date for this NPI number is 9/24/2011 and was last updated on 1/22/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1390200000XStudent in an Organized Health Care Education/Training ProgramCALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.