William R. Chism Od PC

NPI #1265590053 in Shell Knob, Missouri

Provider Information

NPI Number: 1265590053
Entity Type: Organization
Organization Name: William R. Chism Od PC
Primary Specialty: Optometrist
Enumeration Date: Dec 5, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: BRIDGEWAY PLAZA
City: Shell Knob
State: Missouri
ZIP Code: 65747-0189
Phone: (417) 858-6060

Authorized Official

Name: WILLIAM R. CHISM, OD
Title: OWNER
Phone: (417) 858-6060

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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