Carlisle, Blake

Carlisle, Blake is an sole proprietor health care provider with primary practice located at 111 E Broadway , Fairview OK 73737-2124. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Carlisle, Blake can be contacted via phone (580) 227-4878.

Contact Information

Primary practice address
111 E Broadway Fairview OK 73737-2124
Phone: (580) 227-4878
Fax: (580) 227-4666
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2804 Oklahoma

Profile Details

NPI number 1073921524
LBN Legal business name Carlisle, Blake
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 29th, 2014
Last updated Jul 29th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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