OrganizationActive
Carlisle Vision Clinic PLLC
NPI 1407130313 · Optometrist · Beaver, OK
Provider details
- NPI number
- 1407130313
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Trey Carlisle, Owner(580) 748-0693
- License
- 2685 (OK)
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
712 Avenue a
Beaver, OK 73932-3101
Phone: (580) 625-2020
Fax: (580) 625-2021
Approximate (ZIP-level) locationGet directions
Mailing address
712 Avenue a
Beaver, OK 73932-3101
Registry dates
- Enumerated
- 2011-10-11
- Last updated
- 2012-03-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.