Individual
DR. SUSAN L CARLISLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
201 HIGHLANDS BOULEVARD DR, BALLWIN, MO 63011-4383
(636) 256-3285
Mailing address
201 HIGHLANDS BOULEVARD DR, BALLWIN, MO 63011-4383
(636) 256-3285
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TO2911
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
318005006
—
MO
01
—
4175
HEALTHCARE USA
MO
01
—
64485
DAVIS
—
01
—
92830
SPECTERA
MO
Enumeration date
08/09/2006
Last updated
12/17/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us