Search › Oklahoma › 152W00000X
Blake Carlisle, O.D
NPI 1073921524 · on the registry since 2014 · sole proprietor
Practice
- Address
- 111 E Broadway
Fairview, OK 73737 - Phone
- (580) 227-4878
- Fax
- (580) 227-4666
- Organisation at this address
- Be Thou My Vision, Pc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-07-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma