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Trey Carlisle, O.D. — NPI 1629357116, Beaver, OK | NPI Central

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NPI 1629357116

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Trey Carlisle, O.D.

NPI 1629357116 · Optometrist · Beaver, OK

Provider details

NPI number: 1629357116
Entity type: Individual
Primary specialty: OptometristEye and Vision Services Providers
Credential: O.D.
Sex: Male
Sole proprietor: Yes
License: 2685 (OK)

Specialties & taxonomies

OptometristPrimary152W00000XLicense 2685 (OK)
Eye and Vision Services Providers

Practice location

712 Ave. a

Beaver, OK 73932

Phone: (580) 625-2020

Fax: (580) 625-2021

Approximate (ZIP-level) locationGet directions

More OK providers

Mailing address

712 Avenue a

Beaver, OK 73932-3101

Registry dates

Enumerated: 2011-08-15
Last updated: 2012-06-19

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.