Susan L Carlisle is a Optometrist in Ballwin, Missouri. Susan L Carlisle practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Susan L Carlisle is 1457361362. The last update date is 2010-12-17.
Susan L Carlisle's current location address is 201 Highlands Boulevard Dr, Ballwin, Missouri. You can contact this provider via phone number 6362563285. The mailing address for Susan L Carlisle is 201 Highlands Boulevard Dr, Ballwin, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan L Carlisle |
|---|---|
| Address | 201 Highlands Boulevard Dr, Ballwin, Missouri |
| Phone Number | 6362563285 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1457361362 |
|---|---|
| Provider Enumeration Date | 2006-08-09 |
| Last Updated Date | 2010-12-17 |
Provider Mailing Address Detail
| Address | 201 Highlands Boulevard Dr |
|---|---|
| City | Ballwin |
| State | Missouri (MO) |
| Post Code | 630114383 |
| Phone Number | 6362563285 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | TO2911 |
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Definition: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 92830 | MO | SPECTERA | |
| 64485 | DAVIS | ||
| 318005006 | MO | -- | |
| 4175 | MO | HEALTHCARE USA |
Post Comment/ Review Below
What is the Susan L Carlisle's unique identification number?
The Susan L Carlisle has been assigned the NPI (National Provider Identifier) Number 1457361362 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Susan L Carlisle is geographically located?
The Susan L Carlisle is physically situated at the following location: 201 Highlands Boulevard Dr, Ballwin, MO, 630114383.
What is the area of specialization for Susan L Carlisle, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Susan L Carlisle is Optometrist, and the corresponding taxonomy code that categorizes this area of expertise is 152W00000X.
When was the Susan L Carlisle's 1457361362 issued?
The Susan L Carlisle's 1457361362 was issued on 2006-08-09.
As of what date were the Susan L Carlisle's details last updated?
The information pertaining to the Susan L Carlisle, including its address, specialty, and other details, was most recently updated on 2010-12-17.
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