Chism, Larry Michael
Chism, Larry Michael is an sole proprietor health care provider with primary practice located at 136 Shelley Dr , Tyler TX 75701-8723. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Chism, Larry Michael can be contacted via phone (903) 561-8686.Contact Information
Primary practice address
136 Shelley Dr
Tyler TX 75701-8723
Phone: (903) 561-8686
Fax: (906) 581-1518
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 02774TG | Texas |
Profile Details
| NPI number | 1376670216 |
|---|---|
| LBN Legal business name | Chism, Larry Michael |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 27th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376670216 | NPPES |
| Texas | Other | 909986 | BLOCK VISION |
| Texas | Other | 48849 | BLOCK VISION |
| Texas | Other | 0390950001 | BLOCK VISION |
| Texas | Other | 08379 | BLOCK VISION |
| Texas | Other | 552688 | BLOCK VISION |
| Texas | Other | 81381Q | BLOCK VISION |
Popular Providers
-
Frazier, Bryan E
5791 New Copeland Rd , Tyler TX 75703-3905 -
Jones, Wayne Eric
1327 Troup Hwy , Tyler TX 75701-4443 -
Hooper, Joshua S
1327 Troup Hwy , Tyler TX 75701-4443 -
Betts, Floyd Galloway
136 Shelley Dr , Tyler TX 75701-8723 -
Lambson, Jared Ryan
701 W Southwest Loop 323 , Tyler TX 75701-9410 -
Smith, Ronald Neal
2732 S Broadway Ave , Tyler TX 75701-5412 -
Bennett, Eugene
4824 S Broadway Ave , Tyler TX 75703-1312 -
Ly, Dat
7924 S Broadway Ave Ste 200, Tyler TX 75703-5204