Organization
CARLISLE VISION CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TREY DEAN CARLISLE O.D. (OWNER)
(580) 748-0693
Entity
Organization
Contact information
Practice address
712 AVENUE A, BEAVER, OK 73932-3101
(580) 625-2020
(580) 625-2021
Mailing address
712 AVENUE A, BEAVER, OK 73932-3101
(580) 625-2020
(580) 625-2021
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2685
OK
Other
Enumeration date
10/11/2011
Last updated
03/09/2012
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