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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. MAX L CARLISLE, O.D.

Active

MR. MAX L CARLISLE, O.D. is a Optometrist healthcare provider located in FAIRVIEW, Oklahoma. NPI 1205839685 is currently active in the NPPES registry. Verify at CMS.

Optometrist · FAIRVIEW, OK

Registration Details

NPI Number
1205839685
Provider Type
Individual
Gender
Male
NPI Issued
May 31, 2005 (21.168577801242 yrs)
Last Updated
Dec 23, 2013
Licenses
973 (OK)
973 (OK)
973 (OK)
973 (OK)
973 (OK)

Practice Information

Address
111 E BROADWAY
FAIRVIEW, OK, 737372124
Browse OK providers · Browse ZIP 73737
Phone
5802274878
Fax
5802274666
Primary Specialty
Optometrist
152W00000X
Additional Specialty
Pediatric Optometrist
Additional Specialty
Sports Vision Optometrist

Other Optometrist Providers in FAIRVIEW, OK

Name Credential NPI
DR. LINDA G. BARTON O.D. 1679671960
DR. BLAKE CARLISLE O.D. 1073921524
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.