Trey Dean Carlisle, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2685 Issued in OK

Practice address

712 Ave. a
Beaver, OK 73932

Phone

(580) 625-2020

Fax

(580) 625-2021

NPI assigned

Aug 15, 2011

Last updated

Jun 19, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

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.

• Carlisle Vision Clinic PLLC

  • Optometrist
  • Beaver, OK
  • NPI 1407130313
  Medicare reassignment NPD Authorized official
• Frederick Eye Care PLLC

  • Optometrist
  • Frederick, OK
  • NPI 1164585758
  Medicare reassignment NPD
• Frederick Eye Care PLLC

  dba Woodward Vision Care

  • Optometrist
  • Woodward, OK
  • NPI 1265760680
  NPD

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

{
    "created_epoch": "1313366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340064000000",
    "number": "1629357116",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 AVE. A",
            "city": "BEAVER",
            "state": "OK",
            "postal_code": "73932",
            "telephone_number": "580-625-2020",
            "fax_number": "580-625-2021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLISLE",
        "first_name": "TREY",
        "middle_name": "DEAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-15",
        "last_updated": "2012-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beaver County Nursing Home
• Bennett Clinic, PC
• Allison Bennett, ARNP
• Kenzi Brown, PT, DPT
• Carlisle Vision Clinic PLLC
• Camber Dean Cline, APRN-CNP
• Guymon Physical Therapy and Wellness PLLC (Beaver Therapy and Wellness)
• High Plains Hospice, LLC.
• High Plains Medical Specialists LLC
• Ashley Nicole Johnston, APRN

• 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 Jun 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.