DR. BLAKE CARLISLE, O.D.

Optometrist

Active Individual
NPI: 1073921524

Practice Address

111 E BROADWAY
Fairview, OK 73737

Phone: (580) 227-4878

Specialties

Specialty Code Primary License
Optometrist 152W00000X Yes 2804 (OK)

Frequently Asked Questions

NPI 1073921524 is the National Provider Identifier for DR. BLAKE CARLISLE, O.D., a Optometrist provider located in Fairview, OK. This NPI was enumerated on July 29, 2014.
DR. BLAKE CARLISLE, O.D. practices at 111 E BROADWAY, Fairview, OK 73737.

Quick Facts

NPI
1073921524
Type
Individual
Enumerated
Jul 29, 2014
Last Updated
Jul 29, 2014

Nearby Providers