William R Chism, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

TO2288 Issued in MO

Practice address

1000 W Jackson St
Ozark, MO 65721-9163

Phone

(417) 581-5581

Fax

(417) 581-5511

NPI assigned

Nov 10, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: wchism217990@directb.mercy.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ozark Eye Clinic, LLC

  • Optometrist
  • Ozark, MO
  • NPI 1649403650
  NPD (past)
• William R Chism OD PC

  • Optometrist
  • Ozark, MO
  • NPI 1336214527
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335744000000",
    "number": "1639240955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 W JACKSON ST",
            "city": "OZARK",
            "state": "MO",
            "postal_code": "657219163",
            "telephone_number": "417-581-5581",
            "fax_number": "417-581-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 W JACKSON ST",
            "city": "OZARK",
            "state": "MO",
            "postal_code": "657219163",
            "telephone_number": "417-581-5581",
            "fax_number": "417-581-5511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHISM",
        "first_name": "WILLIAM",
        "middle_name": "R",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-10",
        "last_updated": "2012-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "TO2288",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC REGION D",
            "identifier": "4917230002",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "310415237",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "310415245",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caring Hearts of Springfield, LLC
• Jordan Castro, COTA/L
• John An Kuang Chao, MD
• Benjamin Alan Childers, D.O.
• Childrens Smile Center
• Christian County Board for the Developmentally Disabled
• Christian County Health Department
• Carl Chris Clausen, R.PH.
• Dana Claire Clevenger, CRNA
• Caitlin M Cole, FNP

• Optometrist in Ozark, MO
• Providers in Ozark, MO by specialty
• Optometrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.