Carlisle, Max L

Carlisle, Max L is an individual health care provider with primary practice located at 111 E Broadway , Fairview OK 73737-2124. He recently has 7 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Low Vision Rehabilitation, Eye and Vision Services Providers / Pediatrics, Eye and Vision Services Providers / Sports Vision, Eye and Vision Services Providers / Vision Therapy, Eye and Vision Services Providers / Occupational Vision. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Carlisle, Max L can be contacted via phone (580) 227-4878.

Contact Information

Primary practice address
111 E Broadway Fairview OK 73737-2124
Fax: (580) 227-4666
Website:

Profile Details

NPI number 1205839685
LBN Legal business name Carlisle, Max L
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2005
Last updated Dec 23rd, 2013 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1205839685 NPPES
Oklahoma Other 0246290001 PALMETTO DMERC
Oklahoma MEDICAID 100766110A PALMETTO DMERC
Oklahoma Other 410046324 PALMETTO DMERC

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