CARLISLE VISION CLINIC PLLC
NPI 1407130313
Optometrist in Beaver, OK
About Carlisle Vision Clinic Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CARLISLE VISION CLINIC PLLC (NPI 1407130313) is a healthcare organization registered as an optometrist in Beaver, Oklahoma and active in the NPI registry since October 2011. The organization lists Trey Dean Carlisle, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Carlisle Vision Clinic Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Carlisle Vision Clinic PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Carlisle Vision Clinic PLLC's NPI number?
The NPI number for Carlisle Vision Clinic PLLC is 1407130313. It was assigned to this organization in the NPPES registry on October 11, 2011.
Where is Carlisle Vision Clinic PLLC located?
Carlisle Vision Clinic PLLC is located at 712 Avenue A, Beaver, OK 73932. The listed phone number is (580) 625-2020.
What is Carlisle Vision Clinic PLLC's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Carlisle Vision Clinic PLLC enrolled in Medicare?
Yes. Carlisle Vision Clinic PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Carlisle Vision Clinic PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Carlisle Vision Clinic PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Carlisle Vision Clinic PLLC accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Carlisle Vision Clinic PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Carlisle Vision Clinic PLLC was last updated on March 9, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Carlisle Vision Clinic Pllc · NPI 1407130313
Optometrist organization in Beaver, Oklahoma. Organization record, active in the CMS NPPES registry since October 11, 2011.
## Identity
- **NPI:** 1407130313 (Entity type: Organization)
- **Enumerated:** October 11, 2011
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Organization subpart:** No
- **Authorized official:** Trey Carlisle, OWNER
## Practice location
- **Address:** 712 AVENUE A, Beaver, OK 73932-3101
- **Phone:** (580) 625-2020 · **Fax:** (580) 625-2021
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Optometry) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 9, 2012
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Source: [NPI Profile](https://npiprofile.com/npi/1407130313) · Data from the CMS NPPES public registry.