DR. Blake Carlisle, O.D.

NPI #1073921524 in Fairview, Oklahoma

Provider Information

NPI Number: 1073921524
Entity Type: Individual
Name: DR. Blake Carlisle, O.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Jul 29, 2014
Last Updated: Jul 29, 2014

Practice Location

Address: 111 E BROADWAY
City: Fairview
State: Oklahoma
ZIP Code: 73737-2124
Phone: (580) 227-4878

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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Organizations

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Be Thou My Vision, PC	Optometrist	Fairview	AI Deep Dive
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