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

Dr. Trey Dean Carlisle, OD

Individual provider Optometrist · NPI 1629357116

Dr. Trey Dean Carlisle, OD is an Optometry in Beaver, Oklahoma. Qualified in 2011, 15 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
15
Licensed in
OK
In the registry since
2011
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

712 Ave A
Beaver, OK 73932
Phone: (580) 625-2020
Fax: (580) 625-2021
Show map & directions

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

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 2685 (OK)

Record details

NPI number1629357116
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorYes
NPI enumeratedAugust 15, 2011
Last updated in NPPESJune 19, 2012

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Beaver