Michael T Chism, OPTOMETRYSTUDENT
Michael T Chism, OPTOMETRYSTUDENT is an Optometry in Murray, Utah. Graduated from Western University of Health Sciences College of Dental Med in 2015, 11 years ago. Practices with Progressive Eye Care, LLC, a 3-clinician group and accepts Medicare assignment. Licensed in California.
- Years since qualifying
- 11
- Trained at
- Western University of Health Sciences College of Dental Med
- Licensed in
- CA
- In the registry since
- 2011
Practice location Address checks out
6344 S 900 EMurray, UT 84121-2439
Phone: (801) 892-8222
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X (CA) |
|---|
Record details
| NPI number | 1770866840 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | OPTOMETRYSTUDENT |
| Sole proprietor | No |
| NPI enumerated | September 24, 2011 |
| Last updated in NPPES | January 22, 2015 |
| Mailing address | 5924 S 1475 W, Taylorsville, UT 84123-5380 |
Medicare enrollment
| Medicare specialty | OPTOMETRY |
|---|---|
| Medical school | WESTERN UNIVERSITY OF HEALTH SCIENCES COLLEGE OF DENTAL MED |
| Graduated | 2015 (11 years in practice) |
| Group practice | Progressive Eye Care, Llc — 3 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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Dr. Anna Ladd Ciullo, MD
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