Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
C WALLACE LILES JR OD PA
Active OrganizationC WALLACE LILES JR OD PA is a Optometrist organization located in WALDRON, Arkansas. NPI 1043438807 is currently active in the NPPES registry. Verify at CMS.
Optometrist · WALDRON, AR
Registration Details
- NPI Number
- 1043438807
- Provider Type
- Organization
- NPI Issued
- Apr 24, 2007 (19.342363456209 yrs)
- Last Updated
- Sep 1, 2009
- License
-
AR2331 (AR)
Practice Information
- Address
-
72 W 2ND STWALDRON, AR, 729587085Browse AR providers · Browse ZIP 72958
- Phone
- 4796375598
- Fax
- 4796371195
- Primary Specialty
-
Optometrist
152W00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.