MAX L CARLISLE

FAIRVIEW, OK
NPI1205839685
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: OK  973)
Additional Taxonomies152WC0802X Optometrist, Corneal and Contact Management
(Licence: OK  973)
152WL0500X Optometrist, Low Vision Rehabilitation
(Licence: OK  973)
152WP0200X Optometrist, Pediatrics
(Licence: OK  973)
152WS0006X Optometrist, Sports Vision
(Licence: OK  973)
152WV0400X Optometrist, Vision Therapy
(Licence: OK  973)
152WX0102X Optometrist, Occupational Vision
(Licence: OK  973)
Enumeration Date2005-05-31
Last Update Date2013-12-23
Business Address
Mr. MAX L CARLISLE O.D.
111 E BROADWAY
FAIRVIEW, OK 73737-2124
Phone number: 580-227-4878
Mailing Address
Mr. MAX L CARLISLE O.D.
111 E BROADWAY
FAIRVIEW, OK 73737-2124
Phone number: 580-227-4878