Organization
WILLIAM R. CHISM OD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM R. CHISM OD (OWNER)
(417) 858-6060
Entity
Organization
Contact information
Practice address
BRIDGEWAY PLAZA, SHELL KNOB, MO 65747-0189
(417) 858-6060
(417) 858-0137
Mailing address
PO BOX 189, SHELL KNOB, MO 65747-0189
(417) 858-6060
(417) 858-0137
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TO2288
MO
Other
Enumeration date
12/05/2006
Last updated
08/22/2020
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