Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BLAKE CARLISLE, O.D.
Active Sole ProprietorDR. BLAKE CARLISLE, O.D. is a Optometrist healthcare provider located in FAIRVIEW, Oklahoma. NPI 1073921524 is currently active in the NPPES registry. Verify at CMS.
Optometrist · FAIRVIEW, OK
Registration Details
- NPI Number
- 1073921524
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 29, 2014 (12.009173118514 yrs)
- Last Updated
- Jul 29, 2014
- License
-
2804 (OK)
- Sole Proprietor
- Yes
Practice Information
- Address
-
111 E BROADWAYFAIRVIEW, OK, 737372124Browse OK providers · Browse ZIP 73737
- Phone
- 5802274878
- Fax
- 5802274666
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in FAIRVIEW, OK
| Name | Credential | NPI |
|---|---|---|
| MR. MAX L CARLISLE | O.D. | 1205839685 |
| DR. LINDA G. BARTON | O.D. | 1679671960 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.