Carlisle Vision Clinic PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

2685 Issued in OK

Legal business name

CARLISLE VISION CLINIC PLLC

Practice address

712 Avenue a
Beaver, OK 73932-3101

Phone

(580) 625-2020

Fax

(580) 625-2021

NPI assigned

Oct 11, 2011

Last updated

Mar 9, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Trey Dean Carlisle, O.D.NPI 1629357116

Title

Owner

Phone

(580) 748-0693

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Trey Dean Carlisle, O.D.

  • Optometrist
  • Beaver, OK
  • NPI 1629357116
  Medicare reassignment NPD Authorized official
• Jeffery Lynn Mussman, DC

  • Chiropractor
  • Warr Acres, OK
  • NPI 1750315685
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1318291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331251200000",
    "number": "1407130313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 AVENUE A",
            "city": "BEAVER",
            "state": "OK",
            "postal_code": "739323101",
            "telephone_number": "580-625-2020",
            "fax_number": "580-625-2021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 AVENUE A",
            "city": "BEAVER",
            "state": "OK",
            "postal_code": "739323101",
            "telephone_number": "580-625-2020",
            "fax_number": "580-625-2021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLISLE VISION CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-11",
        "last_updated": "2012-03-09",
        "status": "A",
        "authorized_official_last_name": "CARLISLE",
        "authorized_official_first_name": "TREY",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "580-748-0693",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beaver County Memorial Hospital (Community Pharmacy)
• Beaver County Nursing Home
• Bennett Clinic, PC
• Allison Bennett, ARNP
• Kenzi Brown, PT, DPT
• Trey Dean Carlisle, O.D.
• Camber Dean Cline, APRN-CNP
• Guymon Physical Therapy and Wellness PLLC (Beaver Therapy and Wellness)
• High Plains Hospice, LLC.
• High Plains Medical Specialists LLC

• Optometrist in Beaver, OK
• Providers in Beaver, OK by specialty
• Optometrist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.