WILLIAM R. CHISM OD PC (NPI# 1265590053) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265590053 |
| Entity Type | Organization |
| Organization Name | WILLIAM R. CHISM OD PC |
| Practice Address |
Bridgeway Plaza Shell Knob MO 65747-0189 |
| Mailing Address |
Po Box 189 Shell Knob MO 65747-0189 |
| Practice Telephone | 4178586060 |
| Practice Fax Number | 4178580137 |
| Mailing Telephone | 4178586060 |
| Mailing Fax Number | 4178580137 |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | WILLIAM R. CHISM (OWNER) |
| Authorized Official Telephone | 4178586060 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | TO2288 | MO | Eye and Vision Services Providers |
| Street Address |
BRIDGEWAY PLAZA |
| City | SHELL KNOB |
| State | MO |
| Zip Code | 65747-0189 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639287600 | Kerry Duane Cox | Family Medicine | Hwy 39 & Yy, Shell Knob, MO 65747 | 2006-08-29 |
| 1518980986 | Shell Knob Pharmacy LLC | Pharmacy | 24875 State Hwy 39, Shell Knob, MO 65747 | 2006-07-25 |
| 1538334396 | Lester E. Cox Medical Centers | Family Medicine | 25376 State Hwy 39, Ste 301, Shell Knob, MO 65747 | 2008-04-23 |
| 1750456281 | Regional Services | Clinic/Center | Hwy 39 & Yy, Shell Knob, MO 65747 | 2006-11-21 |
| 1144312497 | Lester E Cox Medical Centers | Family Medicine | 25376 State Hwy 39, Suite 301, Shell Knob, MO 65747 | 2006-09-28 |
| 1154334977 | Cynthia C Hughes | Family Medicine | 25376 State Highway 39, #301, Shell Knob, MO 65747-7343 | 2006-08-14 |
| 1962499830 | Georgann Marie Greissinger | Nurse Practitioner | 25376 State Hwy 39, #301, Shell Knob, MO 65747-7343 | 2005-10-05 |
| 1215396635 | Cox-monett Hospital Inc | Family Medicine | 25376 State Highway 39, Suite 301, Shell Knob, MO 65747-7343 | 2016-02-12 |
| 1629468103 | Brian K. Leach Dds LLC | Dentist | 25376 State Highway 39, Suite 201, Shell Knob, MO 65747-7343 | 2015-02-04 |
| 1235459447 | Brian K. Leach, D.d.s. | Dentist | 25376 State Highway 39, Suite 201, Shell Knob, MO 65747-7343 | 2010-06-10 |
| Find all providers in zip 65747 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316553373 | Eye Surgery Consultants LLC | Optometrist | 2530 Lucy Lee Pkwy, Poplar Bluff, MO 63901-2436 | 2020-09-16 |
| 1811500069 | Pec Chesterfield, LLC | Optometrist | 317 Clarkson Rd Ste 102, Ellisville, MO 63011-2271 | 2020-08-27 |
| 1700402500 | Robert William Duncan | Optometrist | 341a N Creek Dr, Festus, MO 63028-2657 | 2020-06-18 |
| 1871118992 | Erik Michael Peyton | Optometrist | 6043 Mid Rivers Mall Dr, Saint Peters, MO 63304-1108 | 2020-06-15 |
| 1851916035 | Nicholas Portell | Optometrist | 13900 E Us Hwy, Suite A, Independence, MO 64055 | 2020-06-12 |
| 1417572686 | Caroline Mendus | Optometrist | 13900 E Us Highway 40, Independence, MO 64055-5860 | 2020-06-12 |
| 1013532464 | Novack Vision Care, LLC | Optometrist | 1166 W 103rd St, Kansas City, MO 64114-4511 | 2020-06-11 |
| 1154946564 | Kelly Erin Deering | Optometrist | 1115 N Washingston St, Chillicothe, MO 64601 | 2020-06-11 |
| 1275158859 | Krystal Rae Adams Matson | Optometrist | 608 N Maguire St, Warrensburg, MO 64093-1420 | 2020-06-10 |
| 1720601719 | Katelyn Hardy | Optometrist | 601 E Russell Ave Ste A, Warrensburg, MO 64093-9601 | 2020-05-25 |
| Find all providers with the same taxonomy | ||||
| City | SHELL KNOB |
| Zip Code | 65747 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.