Michael T Chism, OPTOMETRY STUDENT

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

6344 S 900 E
Murray, UT 84121-2439

Phone

(801) 892-8222

NPI assigned

Sep 24, 2011

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

Medicare fee-for-service enrollment

Enrolled in UT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Western University of Health Sciences College of Dental Med, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Progressive Eye Care, LLCGroup PAC ID 5799718912, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Progressive Eye Care, LLC

  • Optometrist
  • South Jordan, UT
  • NPI 1922282599
  Medicare reassignment Care Compare group NPD
• Glaukom LLC

  • Ophthalmology Physician
  • Salt Lake City, UT
  • NPI 1518307909
  NPD
• Advanced Eye Care Inc

  • Ophthalmology Physician
  • Salt Lake City, UT
  • NPI 1427248467
  NPD (past)

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

{
    "created_epoch": "1316822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421884800000",
    "number": "1770866840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5924 S 1475 W",
            "city": "TAYLORSVILLE",
            "state": "UT",
            "postal_code": "841235380",
            "telephone_number": "909-631-7188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6344 S 900 E",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841212439",
            "telephone_number": "801-892-8222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHISM",
        "first_name": "MICHAEL",
        "middle_name": "T",
        "credential": "OPTOMETRY STUDENT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-24",
        "last_updated": "2015-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynn Scott Chidester, MD
• Children in Motion, LLC
• Donald W Childs, MD
• Scott Childs
• Valeria Chirichigno
• Abigail Chodos
• Jae Hyuk Choi
• Andrew H Chon, M.D.
• Jackson C Chou
• Rasheel Chowdhary, M.D.

• Student in an Organized Health Care Education/Training Program in Murray, UT
• Providers in Murray, UT by specialty
• Student in an Organized Health Care Education/Training Program in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.