Vision Source Of Tyler

LBN: Larry M Chism Pc
Vision Source Of Tyler is an health care organization with primary practice located at 136 Shelley Drive , Tyler TX 75701. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Larry M Chism Pc can be contacted via phone (903) 561-8686, or through Chism, Larry M via phone (903) 561-8686.

Contact Information

Primary practice address
136 Shelley Drive Tyler TX 75701
Phone: (903) 561-8686
Fax: (903) 581-1518
Website:
Map and Directions
Authorized official contact:
Name: Chism, Larry M Doctor of Optometry (OD)
Phone: (903) 561-8686

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 02774TG Texas

Profile Details

NPI number 1033247598
LBN Legal business name Larry M Chism Pc
DBA Doing business as Vision Source Of Tyler
Authorized official Chism, Larry M Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 28th, 2007
Last updated May 17th, 2012 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033247598 NPPES
Texas Other 0006FG BLUECROSSBLUESHIELD

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