DR. Trey Dean Carlisle, O.D.

NPI #1629357116 in Beaver, Oklahoma

Provider Information

NPI Number
1629357116
Entity Type
Individual
Name
DR. Trey Dean Carlisle, O.D.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Optometrist
Credential
O.D.
Enumeration Date
Aug 15, 2011
Last Updated
Jun 19, 2012

Practice Location

Address
712 AVE. A
City
Beaver
ZIP Code
73932
Phone
(580) 625-2020

Specialties & Taxonomy Codes

Specialty
Optometrist

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