Individual
JENNIFER MARGARET CARLISLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
2250 EASTERN BLVD, MONTGOMERY, AL 36117-1555
(334) 274-2020
(334) 396-9924
Mailing address
1950 OLD GALLOWS RD STE 520, VIENNA, VA 22182-3970
(703) 847-8899
(571) 223-6780
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
OPT003228
GA
152W00000X
Optometrist
Primary
S-E26-TA-B61
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S-E26
TEMPORARY OPTOMETRIC LICENSE
AL
Enumeration date
07/18/2019
Last updated
10/15/2021
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