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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

C WALLACE LILES III O D LLC

Active Organization

C WALLACE LILES III O D LLC is a Optometrist organization located in MENA, Arkansas. NPI 1134524770 is currently active in the NPPES registry. Verify at CMS.

Optometrist · MENA, AR

Registration Details

NPI Number
1134524770
Provider Type
Organization
NPI Issued
Oct 24, 2014 (11.812923334178 yrs)
Last Updated
Oct 24, 2014
License
2331 (AR)

Practice Information

Address
703 HIGHWAY 71 N STE J
MENA, AR, 719534341
Browse AR providers · Browse ZIP 71953
Phone
4793944215
Fax
4793943455
Primary Specialty
Optometrist
152W00000X

Other Optometrist Organizations in MENA, AR

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.