Larry M Chism PC

NPI #1033247598 in Tyler, Texas

Provider Information

NPI Number: 1033247598
Entity Type: Organization
Organization Name: Larry M Chism PC
Primary Specialty: Optometrist
Enumeration Date: Feb 28, 2007
Last Updated: May 17, 2012

Practice Location

Address: 136 SHELLEY DRIVE
City: Tyler
State: Texas
ZIP Code: 75701
Phone: (903) 561-8686

Authorized Official

Name: DR. LARRY M CHISM, OD
Title: OWNER/OPTOMETRIST
Phone: (903) 561-8686

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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