Search › Oklahoma › 152W00000X
Max Carlisle, O.D
NPI 1205839685 · on the registry since 2005
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
- Also registered as
- 152WC0802X
152WL0500X
152WP0200X
152WS0006X
152WV0400X
152WX0102X - Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2013-12-23
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