Individual provider · Type 1 NPI

Michael T. Chism, OPTOMETRY STUDENT

Student in an Organized Health Care Education/Training Program · Murray, UT

NPI number 1770866840 Active

Practice location

6344 S 900 E
Murray, UT 84121-2439

Call (801) 892-8222 Map

Mailing address

5924 S 1475 W
Taylorsville, UT 84123-5380

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

4 other providers at this address

Other student in an organized health care education/training program providers in Murray

See all in Murray →

About NPI 1770866840

Michael T. Chism, OPTOMETRY STUDENT's National Provider Identifier is 1770866840, issued on Sep 24, 2011. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Murray, UT. The record was last updated on Jan 22, 2015.