MICHAEL T CHISM OPTOMETRY STUDENT
NPI 1770866840
Student in an Organized Health Care Education/Training Program in Murray, UT

Active since September 24, 2011PECOS EnrolledAccepts Medicare Assignment
6344 S 900 E, MURRAY, UT 84121(801) 892-8222 Get Directions Write a Review

NPPES record last updated: January 22, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Michael T Chism Optometry Student NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL T CHISM OPTOMETRY STUDENT (NPI 1770866840) is an individual student in an organized health care education/training program in Murray, Utah and active in the NPI registry since September 2011. He is enrolled in Medicare PECOS and is a graduate of Western University Of Health Sciences College Of Dental Med (2015).

NPPES Registry Identity

NPI1770866840
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMICHAEL T CHISMCredential: OPTOMETRY STUDENT
Location Address6344 S 900 EMurray, UT 84121-2439
Mailing Address5924 S 1475 WTaylorsville, UT 84123-5380 · (909) 631-7188
Sole ProprietorNo
Medical School CMSWestern University Of Health Sciences College Of Dental MedGraduated 2015
Enumeration DateSeptember 24, 2011
Last NPPES UpdateJanuary 22, 2015
NPI 1770866840 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
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.
6344 S 900 E, Murray, UT 84121

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Michael T Chism Optometry Student is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9133432784
PECOS Enrollment IDI20150724012282
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Ophthalmology
6344 S 900 E
SALT LAKE CITY, UT 84121
Clinic/Center (Medical Specialty)
6344 S 900 E
MURRAY, UT 84121
Clinic/Center (Ambulatory Surgical)
6344 S 900 E
MURRAY, UT 84121
Ophthalmology
6344 S 900 E
SALT LAKE CITY, UT 84121

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Chism's NPI number?

The NPI number for Michael Chism is 1770866840. It was assigned to this individual provider in the NPPES registry on September 24, 2011.

Where is Michael Chism located?

Michael Chism practices at 6344 S 900 E, Murray, UT 84121. The listed phone number is (801) 892-8222.

What is Michael Chism's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Michael Chism enrolled in Medicare?

Yes. Michael Chism is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Michael Chism accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 4 other insurers list Michael Chism as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Michael Chism was last updated on January 22, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.