Larry Michael Chism, O.D.

NPI #1376670216 in Tyler, Texas

Provider Information

NPI Number: 1376670216
Entity Type: Individual
Name: Larry Michael Chism, O.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Feb 27, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 136 SHELLEY DR
City: Tyler
State: Texas
ZIP Code: 75701-8723
Phone: (903) 561-8686

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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