Teresa Carlisle, OPTICIAN

Primary specialty

OpticianTaxonomy code 156FX1800X

License

NOT REQUIRED Issued in AL

Practice address

822 Leighton Ave
Anniston, AL 36207-5786

Phone

(256) 624-6455

NPI assigned

May 15, 2014

Last updated

Mar 8, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Clear Vision Boutique LLC

  • Optician
  • Anniston, AL
  • NPI 1689269086
  NPD Authorized official

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

{
    "created_epoch": "1400112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615161600000",
    "number": "1568873263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "822 LEIGHTON AVE",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362075786",
            "telephone_number": "256-624-6455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "822 LEIGHTON AVE",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362075786",
            "telephone_number": "256-624-6455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLISLE",
        "first_name": "TERESA",
        "name_prefix": "Mrs.",
        "credential": "OPTICIAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-15",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "AL",
            "license": "NOT REQUIRED",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Anniston",
            "affiliation": "N",
            "address_1": "822 Leighton Ave",
            "city": "Anniston",
            "state": "AL",
            "country_code": "US",
            "postal_code": "362075786",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Rod E Campbell, LPC
• Brittney Taylor Carden
• Cardiac and Vascular Consultants
• Carla N. Thomas, MD & Linda Dubois, CRNP
• Laurie Ann Carlisle, M.A., CCC-SLP
• Paul David Carpenter, DO
• Saundra Carter, R.N.
• Beverly S Casey, MA
• Donald Wayne Casey, D.O.
• Diana Cervantes Cash

• Optician in Anniston, AL
• Providers in Anniston, AL by specialty
• Optician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.