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

C. WALLACE LILES JR., O.D.

Active

C. WALLACE LILES JR., O.D. is a Optometrist healthcare provider located in MENA, Arkansas. NPI 1184620049 is currently active in the NPPES registry. Verify at CMS.

Optometrist · MENA, AR

Registration Details

NPI Number
1184620049
Provider Type
Individual
Gender
Male
NPI Issued
Jun 24, 2005 (21.103780990231 yrs)
Last Updated
Jun 3, 2019
License
AR2331 (AR)

Practice Information

Address
208 MORROW ST S
MENA, AR, 719532510
Browse AR providers · Browse ZIP 71953
Phone
4793944215
Fax
4793943455
Primary Specialty
Optometrist
152W00000X

Other Optometrist Providers in MENA, AR

Name Credential NPI
DR. BILL J BELL O.D. 1669492781
HOWARD LEON HALL O.D. 1699860007
DR. RYANN KATHERINE ROLES OD 1154071389
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.