Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Blake Carlisle, OD

Individual provider Optometrist · NPI 1073921524

Dr. Blake Carlisle, OD is an Optometry in Fairview, Oklahoma. Qualified in 2014, 12 years ago. Practices with Be Thou My Vision PC, a 3-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
12
Licensed in
OK
In the registry since
2014
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

111 E Broadway
Fairview, OK 73737-2124
Phone: (580) 227-4878
Fax: (580) 227-4666
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 2804 (OK)

Record details

NPI number1073921524
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorYes
NPI enumeratedJuly 29, 2014
Last updated in NPPESJuly 29, 2014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Be Thou My Vision Pc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Fairview